Abstract
The fascia superficialis temporalis (FST) can be used as a pedicled flap. Its span allows covering important head and neck defects. We present our experience with four patients. The FST flap, grafted with thin skin allowed covering: zygomatic defect after resection of Merkel cell carcinoma; the upper part of the right auricle after exeresis due to an arterial and venous malformation; the left orbital and palpebral region after exeresis of a basal cell carcinoma; the total auricle amputation site after exeresis of a squamous cell carcinoma. The cosmetic results were satisfactory in every case. The thinness and the plasticity of the FST make it an excellent flap for facial reconstruction. Rapid surgery and low rate of sampling morbidity are assets for reconstruction in patients often fragile and old.
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