The superficial temporal artery and vein (STA/V) are often considered suboptimal recipient
vessels due to anecdotal reports that they are unreliable and prone to spasm. This
is unfortunate, as their position greatly facilitates reconstruction of the scalp
and orbit. We present our experience with 28 patients who underwent microvascular
craniofacial reconstruction of oncological defects using the STA/V as recipients over
a 4-year period at a single institution. Rates of vessel thrombosis, total flap loss,
and partial flap loss were not significantly different from 282 flaps anastomosed
to neck vessels. With knowledge of the anatomy and proper technique, the STA/V are
reliable and available in most patients and can facilitate microvascular orbit and
scalp reconstruction. The proximity they offer allows more flexibility in flap pedicle
length requirement and avoids the use of vein grafts. Caution should be exercised
if there is a history of radiation therapy.
Superficial temporal vessels - microsurgery - head and neck reconstruction - orbital
reconstruction - scalp reconstruction
