Bohr Colin, Shermetaro Carl
McLaren Oakland Hospital
Mclaren Oakland Hospital
The temporoparietal fascia (TPF) lies under the skin and subcutaneous tissue over the temporal fossa. It is also known as the superficial temporal fascia. It is continuous with the superficial musculoaponeurotic system that is inferior to the zygomatic arch. These two structures are continuous with the platysma muscle in the neck, creating a unified fascia layer from the scalp to the clavicle. The temporoparietal fascia joins the orbicularis oculi and frontalis muscles anteriorly and the occipitalis muscle posteriorly. It is approximately 2 to 3 mm thick. The layers from the skin to the cranium from superficial to deep in this region are as follows: Skin. Subcutaneous tissue . Temporoparietal fascia (superficial temporal fascia). Innominate fascia . Deep temporal fascia (divides into a deep and superficial layer). Temporalis muscle . Pericranium. Cranium . The deep temporal fascia splits into a deep and superficial layer before it inserts into the superior aspect of the zygomatic arch. The superficial temporal fat pad divides these two layers. A proper understanding of the anatomy surrounding the temporoparietal fascia is essential for surgical considerations as it can serve as donor tissue for reconstruction. Additionally, a thorough knowledge of the temporoparietal fascia's relation to surrounding neurovascular structures is integral to safe surgical dissections in this area.
颞顶筋膜(TPF)位于颞窝上方的皮肤和皮下组织之下。它也被称为颞浅筋膜。它与颧弓下方的表浅肌肉腱膜系统相连。这两个结构与颈部的颈阔肌相连,形成了一个从头皮到锁骨的统一筋膜层。颞顶筋膜在前方与眼轮匝肌和额肌相连,在后方与枕肌相连。它的厚度约为2至3毫米。该区域从皮肤到颅骨由浅至深的层次如下:皮肤、皮下组织、颞顶筋膜(颞浅筋膜)、无名筋膜、颞深筋膜(分为深层和浅层)、颞肌、颅骨膜、颅骨。颞深筋膜在插入颧弓上缘之前分为深层和浅层。颞浅脂肪垫将这两层分开。正确理解颞顶筋膜周围的解剖结构对于手术考量至关重要,因为它可以作为重建的供体组织。此外,全面了解颞顶筋膜与周围神经血管结构的关系对于该区域的安全手术解剖是不可或缺的。