Brent B, Upton J, Acland R D, Shaw W W, Finseth F J, Rogers C, Pearl R M, Hentz V R
Plast Reconstr Surg. 1985 Aug;76(2):177-88. doi: 10.1097/00006534-198508000-00001.
The temporoparietal fascia is an ideal tissue source for free transfer to distant sites where ultrathin coverage is either desirable or mandatory. The fascia's dependable vascular anatomy facilitates the technical aspects of microvascular transfer by means of its large vessels, ample pedicle, and ability to be grafted on either side. Furthermore, this highly vascular tissue is available in surprisingly large quantities, and its donor scar is hidden in the hair. The authors have found this flap useful (1) in covering exposed bone and tendon without adding unwanted bulk, (2) in providing thin flap coverage or lining in major facial reconstruction, (3) in covering vital structures such as exposed nerves and vessels, (4) in providing neovascularity both as a recipient graft bed and for control of chronic infection, and (5) in reestablishing gliding-tendon mechanisms. The authors have successfully employed this free flap in 15 cases which involved deformities of the ankle, foot, Achilles tendon, forearm, hand, nose, and contralateral ear and scalp. Seven cases are utilized to illustrate the broad application of this unique and versatile free flap.
颞顶筋膜是一种理想的组织来源，可用于游离移植至需要超薄覆盖或必须进行超薄覆盖的远处部位。该筋膜可靠的血管解剖结构有利于微血管移植的技术操作，因为其血管粗大、蒂部充足且可在任意一侧进行移植。此外，这种血管丰富的组织数量惊人，且供区瘢痕隐藏在头发中。作者发现该皮瓣在以下方面有用：(1) 覆盖暴露的骨骼和肌腱而不增加不必要的体积；(2) 在面部主要重建中提供薄皮瓣覆盖或衬里；(3) 覆盖重要结构，如暴露的神经和血管；(4) 作为受区移植床并用于控制慢性感染，提供新生血管；(5) 重建滑动肌腱机制。作者已在15例涉及踝关节、足部、跟腱、前臂、手部、鼻子以及对侧耳朵和头皮畸形的病例中成功应用了这种游离皮瓣。本文用7个病例来说明这种独特且多功能游离皮瓣的广泛应用。
