IMAGING STUDY ON SUPRATROCHLEAR ARTERY AND ITS APPLICATION IN NASAL RECONSTRUCTION_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

XU Jing , ZHANG Yang , XIE Bo , LI Guangzao , ZHANG Li , HUANG He , GAO Song , GE Shuxing.

1Department of Plastic Surgery, 2Department of Interventional Radiology, the First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui, 233004, P.R.China.;

Corresponding author：

Keywords：

Supratrochlear artery ，Angiography， Nasal reconstruction ，Frontal flap

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【Abstract】 Objective To study the image of the muscular and cutaneous branches of supratrochlear artery by internal and external carotid angiography and to design the frontal flap for nasal reconstruction. Methods The muscular and cutaneous branches of supratrochlear artery of 30 adults were investigated through internal and external carotid angiography and three-dimensional reconstruction of vessels to explore the courses of branches of supratrochlear artery and their communication with supraorbital artery. According to image observation, the frontal flap was designed and used to perform nasal reconstruction in 11 cases of nasal defects, including 7 males and 4 females with an average age of 23 years (range, 15-48 years). The nasal defect ranged from 3.0 cm × 2.5 cm to 5.0 cm × 3.5 cm. Results Internal carotid angiography and three-dimensional imaging of the vessels showed that supratrochlear artery was found in 30 patients, with a diameter of (0.9 ± 0.6) mm. The superficial cutaneous branch appeared constantly with a diameter of (0.7 ± 0.3) mm. Deep muscular branch traveled among frontal muscle, with a diameter of (0.5 ± 0.5) mm and a length of (32.0 ± 6.2) mm, and it was missing in 4 patients, the branches communicated with each other and with supraorbital artery. All flaps survived with good appearance and without cartilage exposure. After 4 months to 3 years of follow-up, the postoperative aesthetic appearance and function of nasal tip, alar, and columella were satisfactory; the height and slope length of the external nose were moderate; and the reconstructed nose had good texture and normal ventilation function without constriction of naris. Conclusion Imaging studies support the fact that supratrochlear artery has constant cutaneous branch. The application of frontal flap pedicled with cutaneous branch can improve the effectiveness of nasal reconstruction.

Citation： XU Jing,ZHANG Yang,XIE Bo,LI Guangzao,ZHANG Li,HUANG He,GAO Song,GE Shuxing.. IMAGING STUDY ON SUPRATROCHLEAR ARTERY AND ITS APPLICATION IN NASAL RECONSTRUCTION. Chinese Journal of Reparative and Reconstructive Surgery, 2012, 26(1): 46-49. doi: Copy

1.	Surg, 2011, 37(4): 519-523.
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14.	李青峰, 雷华, 顾斌, 等. 额部阶梯状皮瓣与肌、皮双瓣鼻再造术. 中华整形外科杂志, 2004, 20(5): 351-353.
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16.	王会勇, 李青峰, 顾斌, 等. 滑车上动脉分支的解剖研究及在鼻再造中的应用. 中华整形外科杂志, 2007, 23(6): 487-490.
17.	李光早, 徐静, 熊竹友, 等. 滑车上血管蒂额部皮瓣转移鼻再造术. 中华医学美容美学杂志, 2009, 15(2): 73-76.
18.	章宏伟, 姚刚, 闻国华, 等. 改良前额旁正中皮瓣在鼻缺损和再造中的临床应用. 中华整形外科杂志, 2010, 26(1): 1-4.
19.	钱云良, 章一新, 杨军, 等. 逆行耳前耳廓复合组织瓣显微移植再造鼻亚结构. 中国修复重建外科杂志, 2006, 20(12): 1186-1188.
20.	Ullmann Y, Fodor L, Shoshani O, et al. A novel approach to the use of the paramedian forehead flap for nasal reconstruction. Plast Reconstr Surg, 2005, 115(5): 1372-1378.
21.	Reece EM, Schaverien M, Rohrich RJ. The paramedian forehead flap: a dynamic anatomical vascular study verifying safety and clinical implications.
22.	Gilman L, Fisher G. Adjunctive use of primary nasal tip closure to facilitate local flap closure of challenging nasal defects. Dermatol Surg, 2010, 36(12): 2053-2056.
23.	Woodard CR, Park SS. Reconstruction of nasal defects 1.5 cm or smaller. Arch Facial Plast Surg, 2011, 13(2): 97-102.
24.	: 541-542.

1. Surg, 2011, 37(4): 519-523.
2. Plast Reconstr Surg, 2008, 121(6): 1956-1963.
3. dual forehead flap. Br J Plast Surg, 2000, 53(2): 261-264.
4. Plast Reconstr Surg, 2008, 121(6): 1956-1963.
5. Whitaber IS, Karoo RO, Spyrou G, et al. The birth of plastic surgery: the story of nasal reconstruction from the Edwin Smith Papyzus to the twenty-first century. Plastic Reconstr Surg, 2007, 120(1): 327-336.
6. Stephen JM, Vicent RH. Plastic Surgery. 2nd ed. Philadelphia: Saunders,.
7. 蔡晓燕, 黎志明. 滑车上静脉在鼻缺损修复中的应用解剖研究. 中国修复重建外科杂志, 2009, 23(2): 86-88.
8. Prado R, Allen S. Reconstruction of a multi-subunit nasal defect. Dermatol.
9. Reece EM, Schaverien M, Rohrich RJ. The paramedian forehead flap: a dynamic anatomical vascular study verifying safety and clinical implications.
10. Zuker RM, Capek L, de Haas W. The expanded forehead scalping flap: a new method of total nasal reconstruction. Plast Reconstr Surg, 1996, 98(1): 155-159.
11. Menick FJ. The use of skin grifts for nasal lining. Clin Plast Surg, 2001, 28(2): 311-321.
12. Furuta S, Hayashi M, Shinohara H. Nasal reconstruction with an expanded.
13. Shumrick KA, Smith TL. The anatomic basis for the design of forehead flaps in nasal reconstruction. Arch Otolaryngol Head Neck Surg, 1992, 118(4): 373-379.
14. 李青峰, 雷华, 顾斌, 等. 额部阶梯状皮瓣与肌、皮双瓣鼻再造术. 中华整形外科杂志, 2004, 20(5): 351-353.
15. Li QF, Xie F, Gu B, et al. Nasal reconstruction using a split forehead flap. Plast Reconstr Surg, 2006, 118(7): 154-1550．.
16. 王会勇, 李青峰, 顾斌, 等. 滑车上动脉分支的解剖研究及在鼻再造中的应用. 中华整形外科杂志, 2007, 23(6): 487-490.
17. 李光早, 徐静, 熊竹友, 等. 滑车上血管蒂额部皮瓣转移鼻再造术. 中华医学美容美学杂志, 2009, 15(2): 73-76.
18. 章宏伟, 姚刚, 闻国华, 等. 改良前额旁正中皮瓣在鼻缺损和再造中的临床应用. 中华整形外科杂志, 2010, 26(1): 1-4.
19. 钱云良, 章一新, 杨军, 等. 逆行耳前耳廓复合组织瓣显微移植再造鼻亚结构. 中国修复重建外科杂志, 2006, 20(12): 1186-1188.
20. Ullmann Y, Fodor L, Shoshani O, et al. A novel approach to the use of the paramedian forehead flap for nasal reconstruction. Plast Reconstr Surg, 2005, 115(5): 1372-1378.
21. Reece EM, Schaverien M, Rohrich RJ. The paramedian forehead flap: a dynamic anatomical vascular study verifying safety and clinical implications.
22. Gilman L, Fisher G. Adjunctive use of primary nasal tip closure to facilitate local flap closure of challenging nasal defects. Dermatol Surg, 2010, 36(12): 2053-2056.
23. Woodard CR, Park SS. Reconstruction of nasal defects 1.5 cm or smaller. Arch Facial Plast Surg, 2011, 13(2): 97-102.
24. : 541-542.

Chinese Journal of Reparative and Reconstructive Surgery

IMAGING STUDY ON SUPRATROCHLEAR ARTERY AND ITS APPLICATION IN NASAL RECONSTRUCTION

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