Islanded Superficial Temporal Artery Fasciocutaneous Flap in Temporal Hairline Reconstruction Following Skin Cancer: A Novel Approach

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Authors

Beatrice Lucchesi, Michigan State University College of Human Medicine Medical Student
John Felder, Corewell Health West

Description

Skin cancer defects spanning the temporal hairline present unique challenges. Current methods, although effective at achieving coverage, often fail to attain an aesthetically pleasing reconstruction, which should place scars in a natural position along the hairline and preserve the direction and location of hair growth. The islanded superficial temporal artery fasciocutaneous flap (ISTAFF) mobilized in V-Y fashion includes the galea and superficial temporal fascia and is supplied by the superficial temporal artery and vein (STA/V) pedicle. It is mainly utilized in the reconstruction of eyebrow or scalp-only defects. In this small three-case series, we demonstrate the utility of the ISTAFF for smaller temporal hairline defects and in a novel combination of multiple local flaps to achieve ideal reconstruction of larger defects spanning the temporal hairline.

Publication Date

5-9-2025

Disciplines

Plastic Surgery

Recommended Citation

Lucchesi B, Felder J. Islanded superficial temporal artery fasciocutaneous flap in temporal hairline reconstruction following skin cancer: a novel approach. Presented at: Research Day Corewell Health West; 2025 May 9; Grand Rapids, MI.

Comments

2025 Research Day Corewell Health West, Grand Rapids, MI, May 9, 2025. Abstract 1760