David S K, Cheney M L
Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, USA.
Arch Otolaryngol Head Neck Surg. 1995 Oct;121(10):1153-6. doi: 10.1001/archotol.1995.01890100061010.
To clarify the neurovascular relationships in the temporoparietal fascial flap and to access its possible use as a sensate free of a pedicled flap.
Anatomic dissections (gross) and examinations (histologic) were performed on 10 fresh cadaver heads.
Academic tertiary care facility, Boston, Mass.
To determine the relationship of the sensory innervation (the auriculotemporal nerve) to the vascular supply (the superficial temporal artery) of the temporoparietal fascial flap, in addition to determining safe incisions and the level of flap elevation that will preserve the sensory supply to the flap.
There is a consistent relationship of the auriculotemporal nerve to the superficial temporal artery allowing for auriculotemporal nerve preservation with standard flap elevation techniques and easy nerve identification in this cadaveric study.
A clear understanding of the anatomic pattern allows for the potential creation of a sensate fascial flap or vascularized nerve graft that would add a potential additional dimension to this fascial flap.
阐明颞顶筋膜瓣的神经血管关系，并探讨其作为带蒂感觉游离瓣的潜在用途。
对10个新鲜尸头进行解剖（大体）和检查（组织学）。
马萨诸塞州波士顿的学术三级医疗设施。
除了确定安全切口和皮瓣掀起水平以保留皮瓣的感觉供应外，还需确定感觉神经支配（耳颞神经）与颞顶筋膜瓣血管供应（颞浅动脉）之间的关系。
在本尸体研究中，耳颞神经与颞浅动脉之间存在一致的关系，采用标准皮瓣掀起技术可保留耳颞神经，且神经易于识别。
对解剖模式的清晰理解有助于创建有感觉的筋膜瓣或带血管神经移植物，这将为该筋膜瓣增加一个潜在的额外维度。
