A New Design for Superficial Temporal Fascial Flap for Reconstruction of the Eyebrow, Upper and Lower Eyelids, and Lacrimal System in One-Stage Procedure

Bozkurt, Mehmet; Külahçi, Yalçın; Kapi, Emin; Karakol, Perçin

doi:10.1097/sap.0b013e3181999e1b

Cited by 14 publications

(17 citation statements)

References 23 publications

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“…( 4 ) Grafts are more suitable for women while flaps seem to be the best options for men. ( 4 ) However, as grafts have inadequate density ( 2 , 3 ) and inserting them may be difficult because of thin, scar, or previously grafted recipient area, ( 2 ) we and others surgeons ( 2 ) favor the use of flap.…”

Section: Discussionmentioning

confidence: 99%

“…( 7 - 9 ) This flap role on eyebrow reconstruction after burn injuries and tumor resection has been acknowledged by many surgeons; ( 1 - 4 , 10 , 11 ) however, experience remains limited on its use for posttraumatic eyebrow reconstruction. ( 2 )…”

Section: Discussionmentioning

confidence: 99%

“…( 1 - 5 ) Hair graft is the most widely used technique; ( 5 ) however, because of the influence of circulatory condition of the recipient bed, its use on extensive scar areas becomes impaired. ( 1 , 2 ) Scalp flaps are also used, however they require staging procedures. Hair-bearing TPF flap has been used by a single surgical procedure as an alternative for reconstruction of regions with low vascularization.…”

Section: Introductionmentioning

confidence: 99%

“…Hair-bearing TPF flap has been used by a single surgical procedure as an alternative for reconstruction of regions with low vascularization. ( 1 , 2 )…”

Section: Introductionmentioning

confidence: 99%

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Posttraumatic eyebrow reconstruction with hair-bearing temporoparietal fascia flap

Denadai

Raposo-Amaral

Marques

et al. 2015

Einstein (São Paulo)

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The temporoparietal fascia flap has been extensively used in craniofacial reconstructions. However, its use for eyebrow reconstruction has been sporadically reported. We describe a successfully repaired hair-bearing temporoparietal fascia flap after traumatic avulsion of eyebrow. Temporoparietal fascia flap is a versatile tool and should be considered as a therapeutic option by all plastic surgeons.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Hair-bearing TPF flap has been used by a single surgical procedure as an alternative for reconstruction of regions with low vascularization. ( 1 , 2 )…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Posttraumatic eyebrow reconstruction with hair-bearing temporoparietal fascia flap

Denadai

Raposo-Amaral

Marques

et al. 2015

Einstein (São Paulo)

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show abstract

“…Each of these grafts or flaps were used to reconstruct both components. Other flap methods combined separate techniques, such as a medusa flap, which was described in a facial burn patient (33). It involves a pedicled superficial temporal fascial flap including a skin island and a buccal mucosal graft for reconstruction of the eyebrow, upper and lower eyelids, and lacrimal system in a one-stage procedure.…”

Section: Discussionmentioning

confidence: 99%

The Temporalis Muscle Flap: A Useful Adjunct in Reconstruction of Combined Defects of the Upper and Lower Eyelids

Haykal

Antonyshyn

Gill

2015

Plastic Surgery Case Studies

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R econstruction of complex eyelid defects presents a challenge. Composite defects that involve both the upper and the lower eyelid, or that extend deeply to involve the lateral canthus and the bony orbit, are particularly difficult to repair. Under these circumstances, the temporalis muscle flap provides vascularized tissue, which can be used in restoring structural support to the lid complex.The temporalis region provides several regional flaps. The temporalis muscle is a type III (Mathes and Nahai classification) fan-shaped muscle with its origin in the temporal fossa. It receives its blood supply from the anterior and posterior deep temporal arteries, which are branches of the internal maxillary artery. These course between the muscle and the periosteum, allowing for subperiosteal elevation. Resection of the zygomatic arch and the coronoid process of the mandible (1) can increase its reach. The presence of two independent vascular territories enables separate use of the temporalis fascia or muscle in the elevation of regional flaps, making it very versatile in head and neck reconstruction (1). It has been described for isolated upper eyelid defects (2-4) and orbital reconstruction (5-12). BACKGrounD: Eyelid reconstruction following oncological resection remains a challenge. Multiple techniques have been described for isolated upper or lower eyelid defects. oBJECTIvE: To describe the use of the temporalis flap for reconstruction of an eyelid defect involving both the upper and lower eyelids. METHoDs: Excision of a basal cell carcinoma was performed. This resulted in full-thickness defects of the upper and lower eyelids, the lateral canthus including upper and lower canthal tendons, the upper right midface, temple, lateral two-thirds of the eyebrow and forehead. The tumour was found to be adherent to bone and dissecting deeply into the lateral orbital cavity as well as along the orbital roof. rEsuLTs: The lateral orbital rim was reconstructed using the pre-bent titanium mesh implant. A temporalis muscle flap allowed for draping over the reconstructed orbital rim and to provide reconstruction of the tarsal plates of the upper and lower eyelids. The remaining large cutaneous defect, which involved more than half of the lower eyelid, was reconstructed using a large Mustarde cervical facial rotation flap. ConCLusIons: The temporalis muscle flap provides abundant well vascularized tissue and has been described for head and neck reconstruction. A novel technique allows reconstruction of both the upper and lower eyelids using the temporalis muscle in combination with local flaps.

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Eyebrow Reconstruction

Gandelman¹

2020

Atlas of Operative Maxillofacial Trauma Surgery

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A New Design for Superficial Temporal Fascial Flap for Reconstruction of the Eyebrow, Upper and Lower Eyelids, and Lacrimal System in One-Stage Procedure

Cited by 14 publications

References 23 publications

Posttraumatic eyebrow reconstruction with hair-bearing temporoparietal fascia flap

Posttraumatic eyebrow reconstruction with hair-bearing temporoparietal fascia flap

The Temporalis Muscle Flap: A Useful Adjunct in Reconstruction of Combined Defects of the Upper and Lower Eyelids

Eyebrow Reconstruction

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