A Novel Reverse Periauricular Flap Reconstruction Method That Uses Additional Anastomosis to Avoid Venous Congestion for Periorbital Defects

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The aim of this study was to introduce and evaluate a method to prevent venous congestion in periauricular flap pedicled on the frontal branch of the superficial temporal artery (STA). Flaps based on the STA are therefore extremely versatile in reconstruction of the face and scalp. The literature on reconstructive possibilities provided by temporal flaps describes venous congestion, but there are currently no methods for preventing this problem. In this brief report, we describe a method to anastomose the parietal branch of superficial temporal vein and the middle temporal vein to ensure venous flow when a concomitant vein of the frontal branch of the STA is unavailable. The flap survived without venous congestion and donor sites healed with satisfactory outcomes. Color and texture match of the flap were excellent and morbidity at the donor site was usually minimal.

Level of Evidence: IV

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