Background and Objectives: Reconstruction of periocular
defects resulting after tumor excision is representing a great
challenge especially if it involves more than a single zone.
This study was done to evaluate the efficacy of bifid frontal
superficial temporal artery island flap in reconstruction of
complex periocular defects involving zones I, II and IV
together.
Patients and Methods: This study included 11 patients
with combinations of zones I, II and IV periocular defects
after excision of large basal cell carcinomas. All defects were
reconstructed using a bifid island flap based on branches of
the frontal division of the superficial temporal artery.
Results and Conclusion: Apart from one flap, which
developed distal necrosis, all flaps did well. All patients were
satisfied to very satisfied about aesthetic and functional
outcome. Bifid frontal superficial temporal artery island flap
is considered a valuable and good option for reconstruction
of periocular defects involving zones I, II and IV.