Jaquet Yves, Higgins Kevin M, Enepekides Danny J
University of Toronto, Sunnybrook Health Sciences Center, Toronto, Canada.
Curr Opin Otolaryngol Head Neck Surg. 2011 Aug;19(4):235-41. doi: 10.1097/MOO.0b013e328347f87a.
The article reviews recent significant advances and current applications of the temporoparietal fascia flap (TPFF) in head and neck surgery.
The recent literature describes a wide span of new applications of the TPFF in many areas. Significant developments and refinements in the reconstruction of orbitomaxillary composite defects and orbital exenteration cavities are reported. The TPFF combined with alloplastic framework is gaining in importance in external ear reconstruction. Innovative prefabricated skin or soft-tissue grafts based on the TPFF are used to restore facial contour or in the reconstruction of complex facial defects. The free TPFF finds a role in laryngotracheal reconstruction as a vascular carrier to support cartilage grafts.
Owing to its reliability and unequalled structural properties, the TPFF still plays a central role in facial reconstruction. Future investigation will likely incorporate the free TPFF as a vascular carrier of bioengineered tissues, such as cartilage and mucosa, for various head and neck indications.
本文综述了颞顶筋膜瓣（TPFF）在头颈外科领域的近期重大进展及当前应用情况。
近期文献描述了TPFF在多个领域的广泛新应用。报道了在眶上颌复合缺损及眶内容剜除术后腔隙重建方面的重大进展和改进。TPFF联合异体材料支架在外耳重建中的重要性日益增加。基于TPFF的创新性预制皮肤或软组织移植物用于恢复面部轮廓或重建复杂面部缺损。游离TPFF在喉气管重建中作为血管载体支持软骨移植发挥作用。
由于其可靠性和无与伦比的结构特性，TPFF在面部重建中仍发挥着核心作用。未来的研究可能会将游离TPFF作为生物工程组织（如软骨和黏膜）的血管载体，用于各种头颈适应症。
