Post Auricular Fascial Flap in Otoplasty

Purpose.To describe the use of the temporoparietal fascial flap (TPF) in the reconstruction of extensive lower eyelid defects in a functioning eye.Methods.We present a surgical case report of a 73-year-old female with melanoma of the left lower eyelid. The lower eyelid was resected, and a composite nasal cartilage-mucosa graft, a skin graft, and a TPF were used to reconstruct the lower eyelid.Results.This achieved reconstruction of the lower eyelid with the protection of the eye and preservation of the visual system function.Conclusion.The TPF serves as a good option for reconstruction of the lower eyelid in a viable functioning globe.

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The Vascularized Temporoparietal Fascial Flap for Correction of the Deep Superior Sulcus

Ophthalmic Plastic and Reconstructive Surgery ◽

10.1097/00002341-199506000-00005 ◽

1995 ◽

Vol 11 (2) ◽

pp. 100-108 ◽

Cited By ~ 7

Author(s):

David E. Cowen ◽

Oleh Antonyshyn ◽

James R. Patrinely ◽

Richard L. Anderson ◽

Louis Morales

Keyword(s):

Fascial Flap ◽

Superior Sulcus

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The Infratemporal Retro-Eustachian Transposition of the Temporoparietal Fascial Flap for Clival Reconstruction After Endoscopic Endonasal Approach: An Anatomic Conceptual Technique

Operative Neurosurgery ◽

10.1093/ons/opab105 ◽

2021 ◽

Author(s):

Giulio Cecchini ◽

Huy Q Truong ◽

Francesco Di Biase ◽

Antonio Musio ◽

Juan C Fernandez Miranda

Keyword(s):

Infratemporal Fossa ◽

Surgical Techniques ◽

Pedicled Flap ◽

Reconstruction Technique ◽

Clinical Validation ◽

Endoscopic Endonasal Approach ◽

Endoscopic Endonasal ◽

Fascial Flap ◽

The Times ◽

Lower Clivus

Abstract BACKGROUND Reconstruction after endoscopic endonasal approaches is a key element. Lower clivus reconstruction is difficult and most of the times a pedicled flap is not available. As the complexity and the dimensions of the exposure increase, a reliable reconstruction technique becomes more and more important. OBJECTIVE To describe the anatomic and technical nuances of the transposition of the temporoparietal fascial flap for lower clivus reconstruction. METHODS A specific temporoparietal fascial flap (TPFF) design and tunneling technique has been studied using 4 head specimens, microscopic and endoscopic surgical techniques, and neuronavigation. RESULTS The L-shaped flap offers several advantages. It can be tunneled directly toward the lower clivus passing through the infratemporal fossa. CONCLUSION The infratemporal retro-eustachian transposition of an L-shaped TPFF provides a vascularized tissue virtually without dimension limits. This is the only technique that allows the flap to be tunneled directly in the lower clivus with the most vascular portion being at the bottom of the defect. Clinical validation is still required since more issues may become relevant in a real-surgery setting. Though, due to its possible complications, this methodology needs further testing and should not be attempted in less experienced hands.

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Design of a temporoparietal fascial flap after a spontaneous nasal fistula unresolved by conventional approaches

Neurocirugía ◽

10.1016/j.neucir.2020.07.001 ◽

2020 ◽

Author(s):

Williams Escalante Encinas ◽

Ricardo Landini Lutaif Dolci ◽

Livia Castellari Burchianti ◽

Alexandre Bossi Todeschini ◽

Américo Rubens Leite dos Santos ◽

...

Keyword(s):

Fascial Flap

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MP-02.04: Versatility of ventral onlaid buccal mucosal graft urethroplasty in treatment of penile and meatal strictures in conjunction with the dartos fascial flap

Urology ◽

10.1016/j.urology.2010.07.365 ◽

2010 ◽

Vol 76 (3) ◽

pp. S16

Author(s):

J. Wong

Keyword(s):

Buccal Mucosal Graft ◽

Fascial Flap

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A Simple Algorithm for the Inframammary Fold Reconstruction, Balcony-Like Technique

The American Journal of Cosmetic Surgery ◽

10.1177/0748806818807095 ◽

2018 ◽

Vol 36 (3) ◽

pp. 130-137

Author(s):

Claudio Cannistrà ◽

Angelo Trivisonno ◽

Alexis Deschler ◽

Celine Aboud ◽

Melvin A. Shiffman ◽

...

Keyword(s):

High Reliability ◽

Simple Algorithm ◽

Inframammary Fold ◽

Good Definition ◽

Fascial Flap ◽

Natural Support ◽

Cosmetic Outcomes ◽

The Creation ◽

Definition Of ◽

The Imf

The inframammary fold (IMF) is one of the most important landmarks that defines the breast region. Most of the current IMF reconstructive techniques are based on the creation of fibrotic structures to maintain the breast. We present a surgical technique of IMF reconstruction by the creation of a fascial flap underpinned by an anatomical evaluation of this structure and a simple algorithm to define the localization of the new IMF. Fifteen patients underwent our procedure of IMF reconstruction from 2004 to 2016. The patients were followed during at least 6 months after IMF reconstruction. This technique is based on the creation of a pectoralis major fascial flap fixed to the dermis by inverted resorbable sutures. The fascial flap represents a new ligament of the IMF reconstituting a physiological support. Cosmetic outcomes and stability over time were assessed. The long-term aesthetic outcome is optimal on all the patients treated with a natural shape and a good definition of the new IMF. There were no noted complications or revision surgery during the follow-up. Our technique consists of an anatomical reconstitution of IMF recreating a natural support “balcony-like” formed by the pectoralis fascia fixed to the dermis. This technique is useful to correct reconstructive or aesthetic procedures of the breast, with great cosmetic outcome and high reliability underpinned by the use of our position algorithm which is easy to use and enables a symmetrical position of the IMF.

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