Hamidian Jahromi Alireza, Horen Sydney R, Konofaos Petros
Department of Plastic and Reconstructive Surgery, Rush University Medical Center, Chicago, IL.
Department of Plastic Surgery, University of Tennessee Health Science Center (UTHSC), Memphis, TN.
J Craniofac Surg. 2021 Jun 1;32(4):1400-1404. doi: 10.1097/SCS.0000000000007467.
The temporoparietal fascial flap (TPFF) is a versatile tool that can be used in the reconstruction of head and neck and distal upper and lower extremity defects. The TPFF may be harvested as a pedicle or free flap as well as with the temporalis muscle and/or adjacent calvarial bone as a composite flap. As a free flap, the TPFF has been used as a joint gliding surface with coverage of nerves and tendons, for extremity soft tissue repair, for tracheal and pharyngeal coverage and for defects of the nose, scalp, and auricle. This article focuses on the use of the free TPFF in the pediatric population through systemic review of the medical literature. Current perspectives on the use of this flap and microsurgery in general in pediatric patients are addressed.
颞顶筋膜瓣（TPFF）是一种多功能工具，可用于头颈部以及上肢和下肢远端缺损的重建。TPFF 可以作为带蒂皮瓣或游离皮瓣进行切取，也可以与颞肌和/或相邻颅骨作为复合皮瓣切取。作为游离皮瓣，TPFF 已被用作关节滑动面，用于覆盖神经和肌腱，用于肢体软组织修复，用于气管和咽部覆盖以及用于鼻、头皮和耳廓缺损。本文通过对医学文献的系统回顾，重点探讨游离 TPFF 在儿科患者中的应用。文中还阐述了目前关于该皮瓣以及一般情况下显微外科手术在儿科患者中应用的观点。
