Supratrochlear island flap for reconstruction of the periorbital
and nasal defects
Ahmet Hamdi Aytekin
Received: 28 May 2013 /Accepted: 23 September 2013 / Published online: 25 October 2013
Springer-Verlag Berlin Heidelberg 2013
Background The reconstruction of nasal and periorbital defects
has been a challenging task for plastic surgeons in terms of
obtaining aesthetic and functional results. So far, many surgical
methods have been described for the closure of these defects;
however, the lack of sensation and inadequate cosmetic ap-
pearance were the main disadvantages of these procedures.
Methods This study involved all patients who underwent
reconstruction of nasal and periorbital defects due to tumor
resection by means of a supratrochlear artery island flap,
between 2007 and 2011. Doppler USG on the frontal region
was routinely performed on all of the patients.
Results This technique was used in six male patients with a
mean age of 59.6 years (ranged, 44–68 years).The flap sizes
ranged from 3×2.2 to 5×4.5 cm (mean 3.83×3.13 cm). The
mean follow-up period was 23.6 months. All of the flaps
survived without any problem, and no total or partial loss of
flap was observed. The defects were closed with sensate and
durable skin. Temporary loss of sensation on frontal regions
was observed on all of the patients, but it decreased within 8–
12 months in the follow-ups.
Conclusions The supratrochlear artery island flap is a good
alternative for the reconstruction of small- and medium-sized
periorbital and nasal defects that offers a single-stage proce-
dure, good perfusion and drainage, reliability, technical easi-
ness, and sensorial superiority.
Level of Evidence: Level IV, therapeutic study.
Keywords Supratrochlear island flap
In the coverage of nasal and periorbital defects, the choice
of surgical method considering the aesthetic outcomes
with functional approach plays a quite important role in
the success of reconstruction. The defects in these regions
frequently occur due to oncologic surgery, trauma, burn,
or infections. In the reconstruction of these defects, beside
the similarity of color and texture with adjacent tissue, it is
essential to provide the anatomic continuity of eyebrow,
eyelids, and canthal regions and create the least donor site
Many surgical methods for the reconstruction of these
defects have been described like full-thickness skin grafts
[1, 2], local and regional flaps such as glabellar and
nasolabial flaps , upper eyelid flap , eyebrow island
flap , supratrochlear and supraorbital pedicled forehead
flap [7–9], lateral-based forehead flap , supraorbital
island flap , retroauricular flap , nasal chondro-
mucosal flap , galeal flap , and free flaps .
Forehead flaps are advantageous because of the good
quality of color and texture compatibility; however, they
have some disadvantages like pedicle folding, interruption
of eyebrow continuity, requiring a two-stage procedure,
lack of primary closure of the donor site, and scarring on
In this study we present a case series where a supratrochlear
artery-based island flap was used in the reconstruction of nasal
and periorbital defects.
Patients and method
This study involved all patients who underwent supratrochlear
artery island flap at Inonu University Turgut Ozal Medical
Center, Plastic Surgery Department between 2007 and 2011.
Doppler USG on the frontal region and detailed preoperative
A. H. Aytekin (*)
Department of Plastic, Reconstructive and Aesthetic Surgery,
Medical Faculty, Inonu University, Malatya 44280, Turkey
Eur J Plast Surg (2014) 37:9–14