Chang Sophia Chia-Ning, Wu Chao-I, Jung Shih-Ming
Department of Plastic Surgery, China Medical University Hospital, Taichung, Taiwan.
J Craniofac Surg. 2010 May;21(3):910-2. doi: 10.1097/SCS.0b013e3181d84214.
Temporoparietal fascial grafts have been used for both nasal and facial contouring, for vascularized tissue coverage, and to augment the nose and lip. The temporoparietal fascial graft provides thin, broad, pliable, easily neovascularized, adequate coverage, contour, and bulk on the cartilage dorsum of the nose, as well as an inconspicuous donor site. A 23-year-old female motorcyclist had an accident with 1 angular laceration wound on the dorsum of the nose in 2006. There was intermittent discharge in the dorsal nose 2 weeks after primary repair. Six months later, the open-tip rhinoplasty was applied to the recurrent fistula of the nose dorsum. There were 2 fistulous orifices and 1 fibrotic cavity with hair ingrowth. After replacement of the rolled temporoparietal fascia, external nasal splinting was applied to mold the shape for 1 week. There was neither graft exposure nor recurrent infection. The procedure is a useful method to eliminate inflammatory squeals. The smooth nasal dorsum skin was regained with adequate nasal projection.
颞顶筋膜移植已用于鼻和面部轮廓塑形、血管化组织覆盖以及鼻唇增大。颞顶筋膜移植在鼻软骨背侧提供薄、宽、柔韧、易于新生血管化、足够的覆盖、轮廓和体积，并且供区不显眼。一名23岁女性摩托车手在2006年鼻部背部有一处角形撕裂伤。一期修复2周后鼻背部有间歇性分泌物。6个月后，对鼻背部复发性瘘管行开放式鼻尖整形术。有2个瘘口和1个有毛发长入的纤维化腔。更换卷起的颞顶筋膜后，应用鼻外夹板塑形1周。既没有移植暴露也没有复发性感染。该手术是消除炎症性尖叫的有用方法。恢复了光滑的鼻背部皮肤并获得了足够的鼻突度。
