Endoscopic-Assisted Temporoparietal Fascial Flap Dissection and Harvesting

Mohammad, Jamal; Shenaq, Jay M.; Ayala, John; Shenaq, Saleh M.

doi:10.1097/00000637-199812000-00004

Cited by 11 publications

(5 citation statements)

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“…According to the literature, the most often noted donor site morbidity is transient or permanent alopecia [7], why an endoscopic surgical harvest of the flap was invented to reduce the risk of alopecia [31]. We did not observe alopecia in any of the 14 patients of our study.…”

Section: Discussionmentioning

confidence: 47%

Retrospective analysis of free temporoparietal fascial flap for defect reconstruction of the hand and the distal upper extremity

Müller‐Seubert

Horch

Schmidt

et al. 2020

Arch Orthop Trauma Surg

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Introduction Soft tissue reconstruction of the hand and distal upper extremity is challenging to preserve the function of the hand as good as possible. Therefore, a thin flap has been shown to be useful. In this retrospective study, we aimed to show the use of the free temporoparietal fascial flap in soft tissue reconstruction of the hand and distal upper extremity. Methods We analysed the outcome of free temporoparietal fascial flaps that were used between the years 2007and 2016 at our institution. Major and minor complications, defect location and donor site morbidity were the main fields of interest. Results 14 patients received a free temporoparietal fascial flap for soft tissue reconstruction of the distal upper extremity. Minor complications were noted in three patients and major complications in two patients. Total flap necrosis occurred in one patient. Conclusion The free temporoparietal fascial flap is a useful tool in reconstructive surgery of the hand and the distal upper extremity with a low donor site morbidity and moderate rates of major and minor complications.

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Section: Discussionmentioning

confidence: 47%

Retrospective analysis of free temporoparietal fascial flap for defect reconstruction of the hand and the distal upper extremity

Müller‐Seubert

Horch

Schmidt

et al. 2020

Arch Orthop Trauma Surg

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“…However, the conspicuous widened scars or alopecia scars were reduced by endoscopicassisted harvest of the TPFFF by some authors. [44][45][46][47] From our point of view, this technique is not appropriate for harvesting this flap because it is sophisticated and a time-consuming procedure. A beveled zig-zag incision can readily minimize this problem even in a short-haired patient and the careful dissection of this flap to avoid injury of the hair follicles is easily mastered once the relevant anatomy is well-understood.…”

Section: Discussionmentioning

confidence: 99%

Temporoparietal fascial free flap for correction of first web space atrophy

Kruavit

Visuthikosol

2009

Microsurgery

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Fourteen temporoparietal fascial free flaps were used for correction of first web space atrophy from ulnar nerve palsy in 13 patients. Ten sustained ulnar nerve injuries and three suffered from leprosy. The procedures were performed under general anesthesia except one leprosy patient with bilateral ulnar nerve palsy in which local anesthesia and brachial block were employed to harvest bilateral free flaps and recipient site preparations, respectively. The follow-up time varied from 4 to 64 months. The postoperative results were satisfactory and there was no resorption of the free flaps. The consistency of the augmented first web space was soft and compressible like natural feel. The size of the flap was more than enough for augmentation of first web space and donor site morbidity was minimal and accepted by all patients. We conclude that temporoparietal fascial free flap is an ideal autogenous tissue for correction of first web space atrophy.

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“…To reduce this undesirable effect, an endoscopic-assisted harvest of the temporoparietal fascial flap has been reported. [32][33][34][35] Personally, the authors do not think that this technique is appropriate for this flap because it is too sophisticated and a timeconsuming procedure. A bevelled zig-zag incision can readily minimize this problem.…”

Section: Discussionmentioning

confidence: 99%

Bilateral temporoparietal fascial free flaps for reconstruction of bilateral hand defects: A report of two cases

Kruavit

Visuthikosol

2009

Microsurgery

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Bilateral temporoparietal fascial free flaps were used for reconstruction of bilateral hand defects in two male patients. A 42-year-old man sustained crushed injury to both hands with avulsion defects and exposed bones and tendons. The two separate procedures were performed under general anesthesia. The temporoparietal fascial free flap was skin grafted on the ward on the following day after the operation. The other patient was a 61-year-old leprosy patient who had bilateral high ulnar nerve palsy for 28 years. One simultaneous procedure was performed under local anesthesia for harvesting the temporoparietal fascial free flaps and under brachial block for preparation of the recipient sites. The free flaps were used for augmentation of the atrophic first web spaces. The postoperative results of the two cases were satisfactory. The functions of both hands were restored with normal gliding mechanism of the tendons in the first case, and permanent correction of the atrophic web spaces was demonstrated in the second case. The temporoparietal fascial free flap is an ideal flap for coverage of hand defects as well as augmentation of first web space atrophy.

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Endoscopic-Assisted Temporoparietal Fascial Flap Dissection and Harvesting

Cited by 11 publications

References 0 publications

Retrospective analysis of free temporoparietal fascial flap for defect reconstruction of the hand and the distal upper extremity

Retrospective analysis of free temporoparietal fascial flap for defect reconstruction of the hand and the distal upper extremity

Temporoparietal fascial free flap for correction of first web space atrophy

Bilateral temporoparietal fascial free flaps for reconstruction of bilateral hand defects: A report of two cases

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