Wu Chao-I, Chen Chia-Chen, Chang Sophia Chia-Ning
Department of Plastic Surgery, China Medical University Hospital, School of Medicine, China Medical University, Taichung, Taiwan.
J Craniofac Surg. 2010 Jul;21(4):1224-5. doi: 10.1097/SCS.0b013e3181e17b66.
The temporoparietal fascia has been used extensively for vascularized tissue coverage, augmentation, and facial contouring. The temporoparietal fascial graft provides thin, broad, pliable, easily neovascularized, adequate coverage, contour, and bulk, as well as a hidden donor site.A 19-year-old woman had periauricular fistulae since she was 2 years. Her condition was diagnosed as left preauricular fistula, and she has been operated on by otolaryngologists 8 times and by plastic surgeons 2 times. The temporoparietal fascia was tunneled through a postauricular pocket to fulfill the cavity under her left earlobe and preauricular area.Facial fistulae were resolved without wound dehiscence, graft exposure, and recurred infection. Local preoperative tenderness was minimal.The temporoparietal fascial graft offers the following advantages as a 1-stage procedure: ease of neovascularization, being in the same operative field, being soft and compliant to the pocket, having a minimal graft resorption, and having a minimal donor site discomfort and disfiguration.
颞顶筋膜已被广泛用于带血管组织覆盖、填充及面部轮廓塑形。颞顶筋膜移植片提供了薄、宽、柔韧、易于新生血管化、足够的覆盖范围、轮廓和体积，以及隐蔽的供区。一名19岁女性自2岁起就患有耳周瘘管。她的病情被诊断为左耳前瘘管，耳鼻喉科医生为她做了8次手术，整形外科医生为她做了2次手术。颞顶筋膜通过耳后袋隧道穿过，以填充左耳垂下和耳前区域下方的腔隙。面部瘘管得以解决，未出现伤口裂开、移植片暴露和复发性感染。术前局部压痛轻微。颞顶筋膜移植片作为一期手术具有以下优点：易于新生血管化、位于同一手术区域、柔软且能贴合腔隙、移植片吸收极少，以及供区不适和畸形极小。
