Roy Collin, Bandyopadhyay Monimoy, Dubey Shirish, Gupta Ajay Kumar
J Indian Med Assoc. 2013 Dec;111(12):852, 854.
The temporoparietal fascia flap with its long rotational axis and extensive mobilisation properties, can provide vascularised tissue to repair the most distant areas in the orofacial region. The donor site morbidity is minimal with a well-concealed scar hidden in the hair-bearing scalp. However, the temporoparietal fascia flap is usually used together with a split thickness skin graft. This leads to one more donor site causing increased morbidity. In this case temporoparietal fascia flap was used for an intra-oral reconstruction in a case of oral submucous fibrosis, without a split thickness skin graft cover. The healing was excellent and the flap provided a good surface for remucosalisation.
颞顶筋膜瓣具有长旋转轴和广泛的活动特性,可为修复口面部最远处的区域提供带血管组织。供区并发症极少,隐藏在有毛发头皮中的瘢痕不易察觉。然而,颞顶筋膜瓣通常与中厚皮片一起使用。这导致多了一个供区,增加了并发症。在本病例中,颞顶筋膜瓣用于口腔黏膜下纤维化患者的口腔内重建,未使用中厚皮片覆盖。愈合情况良好,该瓣为黏膜再形成提供了良好的表面。