Dr. Lutfi Kirdar Kartal Training and Research Hospital, Department of Plastic Reconstructive and Aesthetic Surgery, Istanbul, Turkey.
Turk Neurosurg. 2021;31(3):472-478. doi: 10.5137/1019-5149.JTN.30085-20.6.
Craniosynostosis surgery may result in temporal hollowing occasionally. Overexpansion of the normal side and undergrowth of the affected side exacerbate the problem in unilateral cases (like unicoronal synostosis). Temporalis muscle lies in the temporal fossa, and it is usually severed or detached from its origin in order to reach the lateral aspect of the fronto-orbital bar. Reattachment of the temporalis muscle is challenging especially when the orbital bar is moved forward. In this technical note, exposure of the lateral cranial vault with zigzag incision of the temporalis muscle in 35 nonsyndromic anterior plagiocephaly patients has been described in detail, and the ease of reattachment is demonstrated afterward.
颅缝早闭手术偶尔会导致颞部凹陷。在单侧病例中（如单侧冠状缝早闭），正常侧过度扩张和患侧发育不良会使问题恶化。颞肌位于颞窝内，通常为了到达额眶骨条的外侧，需要将其从起点切断或分离。当眶骨条向前移动时，重新附着颞肌具有挑战性。在本技术说明中，详细描述了在 35 例非综合征性前斜头畸形患者中采用颞肌Z 形切口暴露外侧颅顶，随后演示了易于重新附着的方法。
