Temporoparietal Flap for Facial Reconstruction: Donor Site Morbidity.

IF 0.9 Q3 SURGERY World Journal of Plastic Surgery Pub Date : 2024-01-01 DOI:10.61186/wjps.13.1.87
Amin Rahpeyma, Saeedeh Khajehahmadi
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Abstract

Background: Temporoparietal flap (TPF) is recommended when thin delicate tissue for medium sized defect is needed. The most used form of this flap is for auricle reconstruction. In this article usage of this flap for facial reconstruction other than auricle is discussed, emphasing on donor site morbidity.

Method: In this retrospective study, archived files of the Department of Oral and Maxillofacial Surgery, University of Medical Sciences, Mashhad, Iran were evaluated from 2016-2020. Patients whom TPF was used for facial reconstruction were included. Flap survival was checked and donor site morbidity was evaluated in the form of skin scar and frontal nerve branch injury.

Results: This flap was used in 8 patients for facial reconstruction. All the cases had experienced Alopecia and this was the greatest when the skin of scalp was also included. All of the patients could elevate the eyebrow that means intact frontal branch of facial nerve.

Conclusion: TPF is a versatile flap for facial reconstruction. However, alopecia is high in composite fasciocutaneous form of this flap.

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用于面部重建的颞顶骨皮瓣:供体部位发病率。
背景:当需要用薄而精致的组织来修复中等大小的缺损时,推荐使用颞顶皮瓣(TPF)。这种皮瓣最常用于耳廓重建。本文将讨论除耳廓外该皮瓣在面部重建中的应用,重点是供体部位的发病率:在这项回顾性研究中,对伊朗马什哈德医科大学口腔颌面外科 2016-2020 年的档案进行了评估。研究纳入了使用 TPF 进行面部重建的患者。对皮瓣的存活率进行了检查,并以皮肤疤痕和额神经分支损伤的形式对供体部位的发病率进行了评估:结果:8 名患者使用了这种皮瓣进行面部重建。所有病例都出现了脱发,其中头皮皮肤脱发最为严重。所有患者都能抬高眉毛,这说明面神经额支完好无损:结论:TPF 是一种用于面部重建的多功能皮瓣。结论:TPF 是一种用于面部重建的多功能皮瓣,但复合筋膜皮瓣的脱发率较高。
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