Temporoparietal fascia: An anatomic and histologic reinvestigation with new potential clinical applications

Basit Öğe Kaydı
dc.contributor.authorTellioglu, AT
dc.contributor.authorTekdemir, I
dc.contributor.authorErdemli, EA
dc.contributor.authorTuccar, E
dc.contributor.authorUlusoy, G
dc.date.accessioned2020-06-25T17:34:45Z
dc.date.available2020-06-25T17:34:45Z
dc.date.issued2000
dc.departmentKırıkkale Üniversitesi
dc.descriptionErdemli, Esra/0000-0002-9737-269X; Tuccar, Eray/0000-0002-1137-1961
dc.description.abstractTemporoparietal fascia constitutes a very important structural unit from both an aesthetic and a reconstructive surgical point of view. A histologically supported anatomic study was conducted for the reappraisal of the anatomic relationships and clinical application potentials of the data obtained. Anatomy of the temporoparietal fascia was investigated on 20 sides from 10 cadavers. After dissections, necropsies were obtained to demonstrate histologic features of the temporoparietal fascia. The outer part of the temporoparietal fascia is continuous with the superficial musculoaponeurotic system (SMAS) in the inferior border and with orbicularis oculi and frontalis muscles in the anterior border. Therefore, plication of the temporoparietal fascia call increase tightness of the SMAS, orbicularis oculi, and frontalis muscle in rhytidectomy. The frontal branches of facial nerve were noted to course parallel to the frontal branch of the superficial temporal artery, lying deeper to the temporoparietal fascia within the innominate fascia. In the view of these findings, conventional subfascial dissection, which is performed to protect frontal branches of the facial nerve, is not reasonable during the temporal part of rhytidectomy. Careful subcutaneous dissection just under the hair follicles is more appropriate to avoid nerve injury and also provides excellent exposure of the temporoparietal fascia for plication in rhytidectomy with protection of the auriculotemporal nerve and the superficial temporal vessels. Furthermore, two layered structures of the temporoparietal fascia ar-e very suitable to insert a framework into the temporoparietal fascia for ear reconstruction to eliminate some of the shortcomings of Brent's technique. A thin muscle layer was also noted within the outer part of the temporoparietal fascia below the temporal line; the term "temporoparietal myofascial flap" would, therefore, be more accurate than "temporoparietal fascial flap." Finally, the innominate fascia and the deep temporal fascia call be elevated with the two layers of the temporoparietal myofascial flap to obtain a well-vascularized, four-layered myofascial flap based on die superficial temporal vessels. This multilayered flap can be used to reconstruct all defects when fine, pliable, thin, multilayered flaps are required.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1097/00006534-200001000-00007
dc.identifier.endpage45en_US
dc.identifier.issn0032-1052
dc.identifier.issn1529-4242
dc.identifier.issue1en_US
dc.identifier.pmid10626968
dc.identifier.startpage40en_US
dc.identifier.urihttps://doi.org/10.1097/00006534-200001000-00007
dc.identifier.urihttps://hdl.handle.net/20.500.12587/2875
dc.identifier.volume105en_US
dc.identifier.wosWOS:000084513700007
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofPlastic And Reconstructive Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleTemporoparietal fascia: An anatomic and histologic reinvestigation with new potential clinical applicationsen_US
dc.typeArticle

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