Andreoli Stefano, Brucato Davide, Schmauss Daniel, Harder Yves
Department of Plastic, Reconstructive and Aesthetic Surgery, Ospedale Regionale di Lugano, Ente Ospedaliero Cantonale (EOC), 6900 Lugano, Switzerland.
Faculty of Biomedical Sciences, Università della Svizzera Italiana, 6900 Lugano, Switzerland.
J Clin Med. 2024 Aug 21;13(16):4936. doi: 10.3390/jcm13164936.
Surgical dissection and partial detachment of the temporalis muscle during neurosurgical procedures might result in a temporal depression known as "temporal hollowing". Reconstructive procedures to correct this condition include the implantation of synthetic materials (e.g., hydroxyapatite, methacrylate or polyethylene), injection of autologous fat or fillers as well as the use of flaps (e.g., temporo-parietal local flap and latissimus dorsi free flap). However, none of these techniques proved to be an ideal option due to a high complication rate or need for invasive and complex surgery. Adipo-dermal grafts are autologous; the resorption rate seems to be limited and the complexity of the procedure is minor. Moreover, autologous fat grafting can be performed to enhance the final outcome by correcting residual contour deformities. : In this series of five patients, an institutional experience is presented using multi-layered adipo-dermal grafts harvested from the supra-pubic area for the restoration of volume and contour in post-surgical temporal hollowing. During the last follow-up, patients were asked to express their satisfaction, which was assessed by a survey. : this approach demonstrates a marked improvement in temporal hollowing associated with a low complication rate and good patient satisfaction. : the aim of this consecutive case series is to emphasize the effectiveness of this surgical technique as one of the options to address temporal hollowing.
神经外科手术过程中颞肌的手术解剖和部分分离可能会导致一种称为“颞部凹陷”的颞部凹陷。纠正这种情况的重建手术包括植入合成材料（如羟基磷灰石、甲基丙烯酸酯或聚乙烯）、注射自体脂肪或填充剂以及使用皮瓣（如颞顶局部皮瓣和背阔肌游离皮瓣）。然而，由于并发症发生率高或需要进行侵入性和复杂的手术，这些技术都没有被证明是理想的选择。脂肪-真皮移植物是自体的；吸收率似乎有限，手术复杂性较小。此外，可以进行自体脂肪移植以通过纠正残留的轮廓畸形来提高最终效果。：在这一系列的5例患者中，展示了一种机构经验，即使用从耻骨上区域采集的多层脂肪-真皮移植物来恢复手术后颞部凹陷的体积和轮廓。在最后一次随访期间，要求患者表达他们的满意度，并通过调查进行评估。：这种方法在颞部凹陷方面显示出显著改善，并发症发生率低，患者满意度高。：这个连续病例系列的目的是强调这种手术技术作为解决颞部凹陷的选择之一的有效性。
