Research Article

Paramedian Forehead Flap and Its Relationship with Supratrochlear Artery: A Cadaveric Study

Volume: 7 Number: 1 May 13, 2024
  • Zeynep Önerci Altunay

Paramedian Forehead Flap and Its Relationship with Supratrochlear Artery: A Cadaveric Study

Abstract

Objective: The purpose of this study was to describe the relationship between the supratrochlear artery (STA) and the medial canthus (MC) in fresh frozen cadavers. Methods: Eighteen fresh frozen cadaver heads (36 hemifaces) were dissected meticulously to explore the STA. After the STA was dissected, its relationship with medial canthus and its distance and location to an imaginary vertical line drawn vertically from the most medial point of the medial canthus were analyzed. Results: Out of 36 hemifaces, on 14 sides, the exit of the STA was just lateral but touching the vertical line at the MC. On 22 sides, the STA was located lateral to the vertical line. No STA was located medial to the vertical line. Conclusion: The MC was the most medial point for supratrochlear artery. Therefore, the medial canthus can be accepted as a reliable landmark for flap design. To be on the safe side, the flap medial arm should be designed a few milimeters medial to the MC.

Keywords

References

  1. Vural E, Batay F, Key JM. Glabellar frown lines as a reliable landmark for the supratrochlear artery. Otolaryngol Head Neck Surg. 2000;123(5):543-546.
  2. Yu D, Weng R, Wang H, Mu X, Li Q. Anatomical study of forehead flap with its pedicle based on cutaneous branch of supratrochlear artery and its application in nasal reconstruction. Ann Plast Surg. 2010;65(2):183-187.
  3. 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.
  4. Phumyoo T, Jiirasutat N, Jitaree B, Rungsawang C, Uruwan S, Tansatit T. Anatomical and ultrasonography-based investigation to localize the arteries on the central forehead region during the glabellar augmentation procedure. Clin Anat. 2020;33(3):370-382.
  5. Ugur MB, Savranlar A, Uzun L, Küçüker H, Cinar F. A reliable surface landmark for localizing supratrochlear artery: medial canthus. Otolaryngol Head Neck Surg. 2008;138(2):162-165.
  6. Kleintjes WG. Forehead anatomy: arterial variations and venous link of the midline forehead flap. J Plast Reconstr Aesthet Surg. 2007;60(6):593-606.
  7. Tansatit T, Apinuntrum P, Phetudom T. Periorbital and intraorbital studies of the terminal branches of the ophthalmic artery for periorbital and glabellar filler placements. Aesthet Plast Surg. 2017;41(3):678-688.
  8. Cong LY, Phothong W, Lee SH, et al. Topographic analysis of the supratrochlear artery and the supraorbital artery: implication for improving the safety of forehead augmentation. Plast Reconstr Surg. 2017;139(3):620e-627e.

Details

Primary Language

English

Subjects

Otorhinolaryngology

Journal Section

Research Article

Authors

Zeynep Önerci Altunay This is me
0000-0002-9000-259X
Türkiye

Publication Date

May 13, 2024

Submission Date

March 23, 2024

Acceptance Date

April 26, 2024

Published in Issue

Year 2024 Volume: 7 Number: 1

APA
Önerci Altunay, Z. (2024). Paramedian Forehead Flap and Its Relationship with Supratrochlear Artery: A Cadaveric Study. European Journal of Rhinology and Allergy, 7(1), 14-16. https://doi.org/10.5152/ejra.2024.24126
AMA
1.Önerci Altunay Z. Paramedian Forehead Flap and Its Relationship with Supratrochlear Artery: A Cadaveric Study. Eur J Rhinol Allergy. 2024;7(1):14-16. doi:10.5152/ejra.2024.24126
Chicago
Önerci Altunay, Zeynep. 2024. “Paramedian Forehead Flap and Its Relationship With Supratrochlear Artery: A Cadaveric Study”. European Journal of Rhinology and Allergy 7 (1): 14-16. https://doi.org/10.5152/ejra.2024.24126.
EndNote
Önerci Altunay Z (May 1, 2024) Paramedian Forehead Flap and Its Relationship with Supratrochlear Artery: A Cadaveric Study. European Journal of Rhinology and Allergy 7 1 14–16.
IEEE
[1]Z. Önerci Altunay, “Paramedian Forehead Flap and Its Relationship with Supratrochlear Artery: A Cadaveric Study”, Eur J Rhinol Allergy, vol. 7, no. 1, pp. 14–16, May 2024, doi: 10.5152/ejra.2024.24126.
ISNAD
Önerci Altunay, Zeynep. “Paramedian Forehead Flap and Its Relationship With Supratrochlear Artery: A Cadaveric Study”. European Journal of Rhinology and Allergy 7/1 (May 1, 2024): 14-16. https://doi.org/10.5152/ejra.2024.24126.
JAMA
1.Önerci Altunay Z. Paramedian Forehead Flap and Its Relationship with Supratrochlear Artery: A Cadaveric Study. Eur J Rhinol Allergy. 2024;7:14–16.
MLA
Önerci Altunay, Zeynep. “Paramedian Forehead Flap and Its Relationship With Supratrochlear Artery: A Cadaveric Study”. European Journal of Rhinology and Allergy, vol. 7, no. 1, May 2024, pp. 14-16, doi:10.5152/ejra.2024.24126.
Vancouver
1.Zeynep Önerci Altunay. Paramedian Forehead Flap and Its Relationship with Supratrochlear Artery: A Cadaveric Study. Eur J Rhinol Allergy. 2024 May 1;7(1):14-6. doi:10.5152/ejra.2024.24126

You can find the current version of the Instructions to Authors at: https://www.eurjrhinol.org/en/instructions-to-authors-104

Starting on 2020, all content published in the journal is licensed under the Creative Commons Attribution-NonCommercial (CC BY-NC) 4.0 International
License which allows third parties to use the content for non-commercial purposes as long as they give credit to the original work. This license
allows for the content to be shared and adapted for non-commercial purposes, promoting the dissemination and use of the research published in
the journal.
The content published before 2020 was licensed under a traditional copyright, but the archive is still available for free access.