J Reconstr Microsurg 2006; 22(5): 335-342
DOI: 10.1055/s-2006-946710
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Correction of Temporo-Masseteric Contour Deformity Using the Dual Paddle Thoracodorsal Artery Perforator Adiposal Flap

Goo-Hyun Mun1 , So-Young Lim1 , Won-Sok Hyun1 , Sa-Ik Bang1 , Kap-Sung Oh1
  • 1Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
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Accepted: March 28, 2006

17. Juli 2006 (online)


In cases of facial asymmetry with denervation atrophy of the masticatory muscles associated with head and neck tumors involving the trigeminal nerve, facial contour depression occurs selectively over the temple and masseteric area, separated by an uninvolved area over the zygomatic arch. The authors developed a new thoracodorsal artery perforator flap with two separate adiposal paddles based on their own perforators from the same mother vessel, the thoracodorsal vessel. Nearly normal temporo-masseteric contour was achieved in two patients. By freely positioning two adiposal paddles supplied by independent perforators based on the same vessel, separate non-contiguous regions of the face could be reconstructed correctly with one microvascular anastomosis in a single-stage operation, without the need for a secondary procedure to reduce the bulk over the zygomatic arch.


Goo-Hyun Mun, M.D. 

Department of Plastic Surgery, Samsung Medical Center

Ilwon-dong 50, Kangnam-ku, Seoul, Korea 135-710