Raffaini M, Costa P
Department of Maxillo-Facial Surgery, University General Hospital, Parma, Italy.
J Craniomaxillofac Surg. 1994 Oct;22(5):261-7. doi: 10.1016/s1010-5182(05)80073-3.
An improved understanding of the vascular supply of the layers of the temporal fossa has increased the potentiality of reconstructive techniques involving this area. Each separate vascularized layer of this region can be used, yet the temporoparietal fascial flap is the more useful for treating a wide range of composite defects. It represents an ultra thin coverage which is useful in resurfacing exposed bone, tendons and vital structures such as nerves and vessels, in providing neovascularity as a recipient graft bed and in providing coverage or lining in major facial reconstructions. We describe our experience with the temporoparietal fascial flap which represents our choice for reconstructing composite defects in orbital, malar, auricular and cheek areas when what is required is a thin, pliable, well vascularized flap to carry a scalp or skin graft, to resurface exposed cartilage, bone and nerve, and to fill soft tissue contour defects. Illustrative cases from the authors' clinical experience are presented, to demonstrate various combinations of the temporoparietal fascial pedicle with other tissues in the reconstruction of the ear, eyebrows, eyelids, malar, cheek and parotid areas.
对颞窝各层血管供应的深入了解，提高了涉及该区域重建技术的潜力。该区域的每一个独立的血管化层都可被利用，但颞顶筋膜瓣在治疗多种复合缺损方面更为有用。它是一种超薄覆盖物，可用于覆盖暴露的骨骼、肌腱以及神经和血管等重要结构，为受区移植床提供新生血管，并在面部主要重建中提供覆盖或衬里。我们描述了我们使用颞顶筋膜瓣的经验，当需要一个薄的、柔韧的、血管丰富的皮瓣来携带头皮或皮肤移植片、覆盖暴露的软骨、骨骼和神经以及填充软组织轮廓缺损时，颞顶筋膜瓣是我们在眼眶、颧骨、耳廓和面颊区域重建复合缺损的首选。文中展示了作者临床经验中的实例，以说明颞顶筋膜蒂与其他组织在耳部、眉毛、眼睑、颧骨、面颊和腮腺区域重建中的各种组合。
