Salvage of Intraoral Dehiscence With a Superficial Temporal Artery Islandized Flap (STAIF)
Brian A Mailey, Blake M Sparkman, Alina K Sinha, Timothy Daugherty

TL;DR
This paper presents a non-microsurgical flap technique to fix intraoral dehiscence after mandibular reconstruction, preventing complications like flap loss.
Contribution
The paper introduces the superficial temporal artery islandized flap (STAIF) as a novel, non-microsurgical solution for intraoral dehiscence.
Findings
STAIF successfully salvaged intraoral dehiscence in a patient after failed local flaps.
The flap provides both intra- and extraoral coverage, making it versatile for reconstruction.
STAIF is a reliable, time-sensitive option to prevent flap and hardware loss.
Abstract
Intraoral dehiscence compromises free fibula flaps following mandibular reconstruction. Salivary contamination risks thrombosis of microvascular anastomosis and hardware infection. The superficial temporal artery islandized flap (STAIF) provides a non-microsurgical reconstructive option for regaining intraoral competency for a time-sensitive complication. The STAIF is based on the superficial temporal artery coursing along the anterior hairline. The flap is mapped with the assistance of the Doppler probe. The width of the skin paddle is dependent upon the ability to close the donor site. The flap is taken down to the level of the zygomatic arch and tunneled into the mouth. We present a case of a patient who underwent mandibular reconstruction with a free fibula flap after a traumatic shotgun wound. The patient developed repeated intraoral dehiscence following failed local buccal and…
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Taxonomy
TopicsReconstructive Surgery and Microvascular Techniques · Reconstructive Facial Surgery Techniques · Cleft Lip and Palate Research
