2025 Volume 53 Issue 2 Pages 127-132
Superficial temporal artery to middle cerebral artery (STA-MCA) anastomosis is a common intracranial revascularization procedure. Because the STA is one of the primary feeding vessels of the scalp, harvesting it can reduce scalp blood supply and lead to wound complications. These complications include delayed wound healing, alopecia, necrosis, and scalp ulceration. The risk of wound complications is particularly high in double anastomoses, where both the frontal and parietal branches are used6).
To prevent operative wound complications, we employed the following strategies: 1. minimizing skin incisions, 2. avoiding thermal coagulation and excessive hemostatic manipulation of the wound surface, 3. using wide sutures, and 4. implementing meticulous postoperative wound care. This study included 37 patients who underwent STA-MCA double anastomoses between February 2017 and September 2024 using a previously described surgical technique. All patients underwent skin staple removal on the seventh postoperative day without wound healing delays.
Our surgical techniques appear effective in preventing postoperative wound complications.
