PMID- 38129190
OWN - NLM
STAT- MEDLINE
DCOM- 20240117
LR  - 20240117
IS  - 1878-4119 (Electronic)
IS  - 1010-5182 (Linking)
VI  - 52
IP  - 1
DP  - 2024 Jan
TI  - Vascular variation of temporoparietal fascia in microtia associated with 
      hemifacial microsomia.
PG  - 40-47
LID - S1010-5182(23)00248-2 [pii]
LID - 10.1016/j.jcms.2023.12.001 [doi]
AB  - The study analyzed vascular variations in microtia associated with hemifacial 
      microsomia (HFM). A retrospective analysis was conducted on 47 patients with 
      microtia and HFM, who underwent computed tomography angiography between November 
      2011 and May 2022. The vascular course and branching supplying the TPF were 
      analyzed. Craniometric measurements were conducted to determine the horizontal 
      distance from the porion and fronto-zygomatic suture (F-Z suture) to the vessels. 
      On the affected side, the TPF was primarily supplied by either the superficial 
      temporal artery (STA) or the postauricular artery-originated STA (Po-STA). The 
      Po-STA (n = 29) was more prevalent than the STA (n = 18), and mostly exhibited a 
      single frontal branch (n = 20). Craniometric analysis revealed that the Po-STA 
      was closer to the porion, ear vestige, and F-Z suture than the STA on the 
      non-affected side. Furthermore, a significant correlation was observed between 
      the severity of mandibular hypoplasia and presence of Po-STA variation (Cramer's 
      V = 0.498, p = 0.005). Microtia associated with HFM exhibits vascular variations 
      in the TPF - in particular, a unique Po-STA variation. The Po-STA is prone to 
      injury during ear reconstruction because of its proximity to the external 
      auditory canal and ear vestige. Surgeons should be cautious of these anatomical 
      variations for safer ear reconstruction procedures, and utilize preoperative 
      imaging for meticulous planning.
CI  - Copyright (c) 2023 European Association for Cranio-Maxillo-Facial Surgery. 
      Published by Elsevier Ltd. All rights reserved.
FAU - Park, Hojin
AU  - Park H
AD  - Department of Plastic Surgery, Korea University, College of Medicine, Korea 
      University Anam Hospital, Seoul, South Korea. Electronic address: 
      hojinpark@korea.ac.kr.
FAU - Ahn, Sihyun
AU  - Ahn S
AD  - Department of Plastic Surgery, Korea University, College of Medicine, Korea 
      University Anam Hospital, Seoul, South Korea.
LA  - eng
PT  - Journal Article
DEP - 20231214
PL  - Scotland
TA  - J Craniomaxillofac Surg
JT  - Journal of cranio-maxillo-facial surgery : official publication of the European 
      Association for Cranio-Maxillo-Facial Surgery
JID - 8704309
SB  - IM
MH  - Humans
MH  - *Goldenhar Syndrome/diagnostic imaging/surgery/complications
MH  - Retrospective Studies
MH  - Facial Asymmetry/complications
MH  - *Congenital Microtia/surgery
MH  - Fascia/transplantation
OTO - NOTNLM
OT  - Angiography
OT  - Congenital microtia
OT  - Goldenhar syndrome
OT  - Hemifacial microsomia
COIS- Declaration of competing interest The authors have no commercial associations to 
      declare.
EDAT- 2023/12/22 00:42
MHDA- 2024/01/17 06:42
CRDT- 2023/12/21 21:58
PHST- 2023/08/09 00:00 [received]
PHST- 2023/12/10 00:00 [accepted]
PHST- 2024/01/17 06:42 [medline]
PHST- 2023/12/22 00:42 [pubmed]
PHST- 2023/12/21 21:58 [entrez]
AID - S1010-5182(23)00248-2 [pii]
AID - 10.1016/j.jcms.2023.12.001 [doi]
PST - ppublish
SO  - J Craniomaxillofac Surg. 2024 Jan;52(1):40-47. doi: 10.1016/j.jcms.2023.12.001. 
      Epub 2023 Dec 14.