title: Reconstruction of periorbital soft tissue defect with reversed superficial temporal artery island flap.
abstract: BACKGROUND
  Periorbital soft tissue reconstruction is a challenge because of its difficulty in regaining both the form and the function. Local flap is the priority method because it could provide excellent match in skin color and texture.
  
  
  OBJECTIVE
  We aim to investigate the application of pedicled reversed superficial temporal artery island flap in the reconstruction of periorbital soft tissue defect.
  
  
  METHODS
  Different kinds of reversed superficial temporal artery island flaps were harvested from the auricular area to cover the defect in the periorbital area.
  
  
  RESULTS
  Ten patients who suffered congenital or acquired periorbital diseases were treated with this method. One case suffered minor venous congestion postoperatively. All the other cases achieved good aesthetic result in both the donor and the recipient sites.
  
  
  CONCLUSIONS
  Reversed superficial temporary artery island flap could be safely harvested from the auricular region even in a split pattern. It could be used to cover the periorbital defect with an unconscious scar at the donor site.
authors.affiliation: From the Division of Plastic and Reconstructive Surgery, Peking Union Medical College Hospital, Beijing, China.
authors.forename: Yang
authors.initials: Y
authors.lastname: Wang
authors.forename: Xiao
authors.initials: X
authors.lastname: Long
authors.forename: Xiaojun
authors.initials: X
authors.lastname: Wang
mesh_terms: D000293:Adolescent; D000328:Adult; D001158:Arteries; D002648:Child; D002675:Child, Preschool; D005145:Face / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009915:Orbit; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D013699:Temporal Arteries / Q000637:transplantation*; D055815:Young Adult