The Course of the Main Trunk and Parietal Branch of the Superficial Temporal Artery for A Pterional Scalp Flap with Superficial Temporal Artery Preservation
Keywords:
superficial temporal artery, parietal branch of STA, frontal branch of STA, pterional scalp flap, pterional scalp incisionAbstract
The pterional incision is usually performed near the course of the superficial temporal artery (STA), which carries a risk of injury to a branch or even the main trunk of the STA (mSTA). Thus, the author has gathered data on the usual course of the mSTA and its parietal branch (pSTA) and proposes suitable scalp incision for the preservation of all STA branches.
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Vishteh AG, Marciano FF, David CA, Baskin JJ, Spetzler RF. The pterional approach. Operative Technique in Neurosurgery. 1998;1:39-49.
Wen HT, Oliveira E, Tedeschi H, Andrade FC, Rhoton AL. The pterional approach: Surgical anatomy, operative technique and rationale. Operative Technique in Neurosurgery. 2001;4:60-72.
Menovsky T, Sener S, Kamerling N, Plazier M, Boogaarts J, Lukes A. Preservation and Microsurgical Repair of the Superficial Temporal Artery During Pterional Craniotomy. World Neurosurg. 2016;89:72-7.
Pinar YA, Govsa F. Anatomy of the superficial temporal artery and its branches: its importance for surgery. Surg Radiol Anat. 2006;28(3):248-53.
Kuruoglu E, Cokluk C, Marangoz AH, Aydin K. Application of three-dimentional computerized tomographic angiography in the planning of pterional scalp incision to preserve the superficial temporal artery. Turk Neurosurg. 2015;25(2):350-2.
Ahn JY, Kim ST, Yi KC, Lee WH, Paeng SH, Jeong YG. Superficial Temporal Artery-Sparing Mini-Pterional Approach for Cerebral Aneurysm Surgery. J Korean Neurosurg Soc. 2017;60(1):8-14.
Katsuno M, Tanikawa R, Izumi N, Hashimoto M. A modified anterior temporal approach for low-position aneurysms of the upper basilar complex. Surg Neurol Int. 2015;6:10.
Chen TH, Chen CH, Shyu JF, Wu CW, Lui WY, Liu JC. Distribution of the superficial temporal artery in the Chinese adult. Plast Reconstr Surg. 1999;104(5):1276-9.
Koziej M, Trybus M, Hołda M, Wnuk J, Polak J, Brzegowy P, et al. The Superficial Temporal Artery: Anatomical Map for Facial Reconstruction and Aesthetic Procedures. Aesthet Surg J. 2019;39(8):815-23.
Tubbs RS, O’Neil JT Jr, Key CD, Zarzour JG, Fulghum SB, Kim EJ, et al. Superficial temporal artery as an external landmark for deeper-lying brain structures. Clin Anat. 2007;20(5):498-501.
Tayfur V, Edizer M, Magden O. Anatomic bases of superficial temporal artery and temporal branch of facial nerve. J Craniofac Surg. 2010;21(6):1945-7.
Kim BS, Jung YJ, Chang CH, Choi BY. The anatomy of the superficial temporal artery in adult koreans using 3-dimensional computed tomographic angiogram: clinical research. J Cerebrovasc Endovasc Neurosurg. 2013;15(3):145-51.
Jean-Philippe H, Benoît B, Françoise K, Michael D. Anatomy and external landmarks of the superficial temporal artery using 3-dimensional computed tomography. Surg Radiol Anat. 202;43(2):283-90.
Koziej M, Wnuk J, Polak J, Trybus M, Pękala P, Pękala J, et al. The superficial temporal artery: A metaanalysis of its prevalence and morphology. Clin Anat. 2020;33(8):1130-7.
Suanchan N, Sriamornrattanakul K, Phumyoo T. The course of the main trunk and parietal branch of the superficial temporal artery for a pterional scalp flap with superficial temporal artery preservation: Cadaveric and clinical study. Asian J Neurosurg. 2025. Doi: 10.1055/s-0045-1809324. (ahead of publication)
Tangkatitham P, Sriamornrattanakul K, Akharathammachote N, Phumyoo T, Phoominaonin I. The relationship between the frontal branch of the superficial temporal artery and the temporal hairline in bicoronal incisions: Cadaveric and clinical study. Asian J Neurosurg. 2025. Doi: 10.1055/s-0045-1809943. (ahead of publication)
Mischkowski RA, Domingos-Hadamitzky C, Siessegger M, Zinser MJ, Zöller JE. Donor-site morbidity of ear cartilage autografts. Plast Reconstr Surg. 2008;121(1):79-87.
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