Hallock G G
Division of Plastic Surgery, Allentown Hospital, PA.
Ann Plast Surg. 1989 Jan;22(1):65-8. doi: 10.1097/00000637-198901000-00012.
The extended temporoparietal fascia flap is a logical variation of previously accepted extended free tissue transfers, which are unique in that the recipient and donor vessels are identical. This local scalp flap permits adequate distant ipsilateral skull coverage with minimal patient inconvenience. If desired, retrograde fascial perfusion from cephalad collaterals allows the completion of long interposition vein graft microanastomosis to the superficial temporal vessels before creating any recipient site defect without fear of flap warm ischemia time. Although the patient described had complications, the concept of the extended temporoparietal fascia flap has been proved to be an intriguing option for head and neck reconstruction.
颞顶筋膜延长皮瓣是先前公认的游离组织延长移植的合理变体，其独特之处在于受区和供区血管相同。这种局部头皮皮瓣能够以最小的患者不便实现同侧远处颅骨的充分覆盖。如果需要，来自头侧侧支的逆行筋膜灌注允许在创建任何受区缺损之前完成与颞浅血管的长段静脉移植显微吻合，而无需担心皮瓣热缺血时间。尽管所描述的患者出现了并发症，但颞顶筋膜延长皮瓣的概念已被证明是头颈重建的一个有趣选择。
