Temporal fascial flap: a versatile free flap for coverage of complex skin defects

2005 ◽  
Vol 28 (1) ◽  
pp. 21-26 ◽  
Author(s):  
M. Stella ◽  
A. Clemente ◽  
D. Bollero ◽  
D. Risso ◽  
L. Arturi
1989 ◽  
Vol 42 (6) ◽  
pp. 715-718 ◽  
Author(s):  
Mitsuo Yoshimura ◽  
Takao Shimada ◽  
Munehisa Matsuda ◽  
Masato Hosokawa ◽  
Shinichi Imura
Keyword(s):  

2018 ◽  
Vol 03 (02) ◽  
pp. e87-e90
Author(s):  
Fernando Herrera ◽  
Karen Horton ◽  
Ryan Brennan ◽  
Gregory Buncke ◽  
Rudolph Buntic

AbstractWe report a case of a 20-year-old patient who sustained a mutilating crush injury to the left-hand index and ring finger volar surface measuring 5 × 6 cm from the distal end of the proximal phalanx to the fingertips. After thorough debridement and stabilization of the skeletal injury, a radial forearm fascia only free flap measuring 6 × 7 cm was used to resurface the distal soft tissue volar defect of two adjacent fingers. Digital nerve grafting was also required, and this was done using autologous nerve graft from the lateral antebrachial cutaneous nerve. This thin fascia only flap allows for stable soft tissue coverage and provides a gliding surface for the underlying tendons. The neosyndactylized digits were safely divided at 3-month follow-up, and excellent functional and aesthetic results were achieved. The radial forearm fascia is a thin, durable, and pliable tissue that is based on the radial artery as a vascular pedicle. We consider this free fascial flap as a valuable option for coverage of multiple complex distal digit injuries using a single flap and highly recommend its use.


2018 ◽  
Vol 03 (02) ◽  
pp. e70-e73
Author(s):  
Ling Kong ◽  
Han Cheng ◽  
Tao Nie ◽  
Min Dai

Background Aim of this study was to determine the feasibility of using the saphenous artery (SA) and great saphenous vein (GSV) as recipient vessels, combined with anterolateral thigh (ALT) flap, in the treatment of skin defects after lower limb amputation. Methods From June 2015 to June 2017, 12 patients (average age, 33.5 years; range, 14–56 years; males, 9; female, 3) with large skin defects and symptoms of bone exposure in the proximal lower extremity were included in our study. The patients underwent emergency treatment and multiple debridement combined with vacuum sealing drainage therapy, followed by free flap surgery using the SA and GSV as recipient vessels, and ALT to cover the wound. Results All 12 patients who underwent free flap surgery survived, but two patients had distal flap necrosis, which, however, was salvaged with conservative measures. All patients were satisfied with the postoperative outcome at the 3 and 6-month follow-up. Conclusion The SA and GSV can be used as recipient vessels, combined with ALT, to treat skin defects after lower limb amputation.


2011 ◽  
Vol 70 (suppl_1) ◽  
pp. ons157-ons162 ◽  
Author(s):  
Mika Komatsu ◽  
Fuminari Komatsu ◽  
Antonio Di Ieva ◽  
Tooru Inoue ◽  
Manfred Tschabitscher

Abstract BACKGROUND: Reconstruction of the skull base is essential to prevent postoperative leakage of cerebrospinal fluid (CSF). However, a reliable method of reconstructing the middle cranial fossa via a subtemporal keyhole is not available. OBJECTIVE: To determine whether less invasive reconstruction of the middle cranial fossa under endoscopic guidance with a pedicled deep temporal fascia approach via a subtemporal keyhole is feasible and useful. METHODS: The middle cranial fossa in 4 fresh cadaver heads was reconstructed with a 4-mm 0° rigid endoscope. RESULTS: A subtemporal skin incision (subtemporal incision) was followed by 2 small skin incisions (temporal line incisions) made on the superior temporal line. The endoscope was inserted through the temporal line incisions, and then the deep temporal fascia was separated from the superficial temporal fascia and temporal muscle under endoscopic view. A pedicled flap was harvested from the subtemporal incision and applied to the middle cranial fossa after subtemporal keyhole craniotomy. The pedicled deep temporal fascial flap was flexible, long, and large enough to overlay skull base defects. CONCLUSION: This purely endoscopic technique using a pedicled deep temporal fascial flap provided reliable reconstruction of the middle cranial fossa through a subtemporal keyhole. This technique would also be applicable in preventing CSF leakage or treating traumatic, acquired nontraumatic, or congenital encephalocele in the middle cranial fossa.


2020 ◽  
pp. 014556132093762 ◽  
Author(s):  
Peipei Guo ◽  
Haiyue Jiang ◽  
Qinghua Yang ◽  
Leren He ◽  
Lin Lin ◽  
...  

Objectives: Ear deformity caused by burns is one of the most difficult types of deformity to treat with plastic surgery, and the reconstruction of burned ears undoubtedly remains a substantial challenge. This study aims to report the therapeutic regime of using a superficial temporal fascial flap to cover the framework in burned ear reconstruction. Methods: Autologous costal cartilage was used to form the ear framework in all of the reconstruction cases. A superficial temporal fascial flap was used as soft tissue to cover the ear scaffold. Results: Five patients with 6 ears were included in our study. The external ear healed well and the location, size, and shape of both ears were generally symmetrical. No complication was observed in any of the patients. Conclusions: The superficial temporal fascial flap is a good choice for covering the autogenous cartilage framework when treating ear deformities after burns.


2008 ◽  
Vol 122 (6) ◽  
pp. 176e-185e ◽  
Author(s):  
Julia K. Terzis ◽  
Fatima S. Olivares

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