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Bilateral comparison of the vascular pattern of the superficial temporal artery based on digital subtraction angiography

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Abstract

Purpose

This study was performed to investigate any bilateral differences in the vascular pattern and microsurgical relevant parameters of the superficial temporal artery (STA) in vivo.

Methods

Digital subtraction angiographies of the STA of 38 individuals were retrospectively analyzed. A bilateral comparison of the branching pattern as well as of surgically relevant diameters and lengths of the main branches of the STA was performed. Moreover, gender-specific differences were assessed.

Results

Only 10 cases (26 %) demonstrated an identical type and subtype of the STA pattern bilaterally. The diameters of the STA at its origin and bifurcation level as well as of its parietal branch were statistically significant wider on the right than on the left side (p o = 0.0009, p b = 0.006, p p = 0.030). Moreover, the diameters of the STA at its origin level on the right side, at its bifurcation level on both sides and of the frontal branch on both sides were statistically significant wider in males than females. No statistically significant differences of the lengths of the STA and its main branches between the right and the left side were identified.

Conclusion

The occurrence of the vascular pattern of the STA in vivo is random for each side of the same person and cannot be predicted by the vascular pattern of the opposite side. The calibers of the main branches of the STA are gender specific and commonly larger on the right than on the left side.

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References

  1. Ausen K, Pavlovic I (2011) Flaps pedicled on the superficial temporal artery and vein in facial reconstruction: a versatile option with a venous pitfall. J Plast Surg Hand Surg 45:178–187

    Article  Google Scholar 

  2. Bardsley AF (1986) Primary reconstruction of a severed ear fragment using a flap of temporo-parietal fascia. Br J Plast Surg 39:524–525

    Article  CAS  Google Scholar 

  3. Bogren HG, Buonocore MH, Gu WZ (1994) Carotid and vertebral artery blood flow in left- and right-handed healthy subjects measured with MR velocity mapping. J Magn Reson Imaging 4:37–42

    Article  CAS  Google Scholar 

  4. Casanova R, Cavalcante D, Grotting JC, Vasconez LO, Psillakis JM (1986) Anatomic basis for vascularized outer-table calvarial bone flaps. Plast Reconstr Surg 78:300–308

    Article  CAS  Google Scholar 

  5. Cui Y, Zhang Z, Huo X, Dai J, Zheng G, Feng X, Wang C (2013) The correlation between lateralization of intracerebral hemorrhage in basal ganglia and handedness. Acta Cir Bras 28:228–232

    Article  Google Scholar 

  6. Fissette J, De Vos V, Medot M, Triffaux M (1992) Evaluation of the midline anastomoses between the two superficial temporal arteries. Eur J Plast Surg 15:180–185

    Article  Google Scholar 

  7. Hansen SL, Foster RD, Dosanjh AS, Mathes SJ, Hoffman WY, Leon P (2007) Superficial temporal artery and vein as recipient vessels for facial and scalp microsurgical reconstruction. Plast Reconstr Surg 120:1879–1884

    Article  CAS  Google Scholar 

  8. Horwitz HM, Pepe PF, Johnsrude IS, McCoy RC, Jackson DC, Farmer JC (1977) Temporal arteriography and immunofluorescence as diagnostic tools in temporal arteritis. J Rheumatol 4:76–85

    CAS  PubMed  Google Scholar 

  9. Imanishi N, Nakajima H, Minabe T, Chang H, Aiso S (2002) Venous drainage architecture of the temporal and parietal regions: anatomy of the superficial temporal artery and vein. Plast Reconstr Surg 109:2197–2203

    Article  Google Scholar 

  10. Kuruoglu E, Cokluk C, Marangoz AH, Aydin K (2015) The evaluation of three-dimensional anatomy of the superficial temporal artery using the volume rendering technique. Turk Neurosurg 25:285–288

    PubMed  Google Scholar 

  11. Lee JG, Yang HM, Hu KS, Lee YI, Lee HJ, Choi YJ, Kim HJ (2015) Frontal branch of the superficial temporal artery: anatomical study and clinical implications regarding injectable treatments. Surg Radiol Anat 37:61–68

    Article  Google Scholar 

  12. Macchi C, Giannelli F, Catini C (1993) The measurement of the calibers of the branches of the aortic arch: a statistical investigation of 430 living subjects using ultrasonic tomography. Ital J Anat Embryol 98:69–79

    CAS  PubMed  Google Scholar 

  13. Marano SR, Fischer DW, Gaines C, Sonntag VK (1985) Anatomical study of the superficial temporal artery. Neurosurgery 16:786–790

    Article  CAS  Google Scholar 

  14. Marty F, Montandon D, Gumener R, Zbrodowski A (1986) Subcutaneous tissue in the scalp: anatomical, physiological, and clinical study. Ann Plast Surg 16:368–376

    Article  CAS  Google Scholar 

  15. Medved F, Manoli T, Medesan R, Janghorban Esfahani B, Stahl S, Schaller HE, Brodoefel H, Ernemann U, Korn A (2015) In vivo analysis of the vascular pattern of the superficial temporal artery based on digital subtraction angiography. Microsurgery 35:380–386

    Article  Google Scholar 

  16. Nakajima H, Imanishi N, Minabe T (1995) The arterial anatomy of the temporal region and the vascular basis of various temporal flaps. Br J Plast Surg 48:439–450

    Article  CAS  Google Scholar 

  17. Roncevic R, Stajcic Z (1994) Correction of facial deformities with pericranial and osteopericranial flaps. Br J Plast Surg 47:230–235

    Article  CAS  Google Scholar 

  18. Rose EH, Norris MS (1990) The versatile temporoparietal fascial flap: adaptability to a variety of composite defects. Plast Reconstr Surg 85:224–232

    Article  CAS  Google Scholar 

  19. Shimizu F, Lin MP, Ellabban M, Evans GR, Cheng MH (2009) Superficial temporal vessels as a reserve recipient site for microvascular head and neck reconstruction in vessel-depleted neck. Ann Plast Surg 62:134–138

    Article  CAS  Google Scholar 

  20. Stock AL, Collins HP, Davidson TM (1980) Anatomy of the superficial temporal artery. Head Neck Surg 2:466–469

    Article  CAS  Google Scholar 

  21. Tan O, Atik B, Ergen D (2007) Temporal flap variations for craniofacial reconstruction. Plast Reconstr Surg 119:152e–163e

    Article  Google Scholar 

  22. Tayfur V, Edizer M, Magden O (2010) Anatomic bases of superficial temporal artery and temporal branch of facial nerve. J Craniofac Surg 21:1945–1947

    Article  Google Scholar 

  23. Veyssiere A, Rod J, Leprovost N, Caillot A, Labbe D, Gerdom A, Lengele B, Benateau H (2013) Split temporalis muscle flap anatomy, vascularization and clinical applications. Surg Radiol Anat 35:573–578

    Article  CAS  Google Scholar 

  24. Yasargil MG, Krayenbuhl HA, Jacobson JH 2nd (1970) Microneurosurgical arterial reconstruction. Surgery 67:221–233

    CAS  PubMed  Google Scholar 

  25. Zhao D, Xiaobing Y, Wang T, Wang B, Liu B, Fengde T, Fu W, Huang S, Qiu X (2013) Digital subtraction angiography in selection of the vascularized greater trochanter bone grafting for treatment of osteonecrosis of femoral head. Microsurgery 33:656–659

    Article  Google Scholar 

  26. Zwetyenga N, Lutz JC, Vidal N, Martin D, Siberchicot F (2007) The pedicled superficial fascia temporalis flap. Rev Stomatol Chir Maxillofac 108:120–127

    Article  CAS  Google Scholar 

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Acknowledgments

We thank Prof. Peter Schmiedek, University Clinic of Neurosurgery in Mannheim, Germany for his ideas that inspired us to perform this study.

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Correspondence to Theodora Manoli.

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Manoli, T., Medesan, R., Held, M. et al. Bilateral comparison of the vascular pattern of the superficial temporal artery based on digital subtraction angiography. Surg Radiol Anat 38, 179–186 (2016). https://doi.org/10.1007/s00276-015-1538-0

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  • DOI: https://doi.org/10.1007/s00276-015-1538-0

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