Reconstruction of a distal extremity defect using a temporoparietal fascia flap covered with a split-thickness skin graft harvested from the scalp: a cosmetic consideration in donor site selection

Abstract

Reconstruction of a distal extremity defect using a temporoparietal fascia flap covered with a split-thickness skin graft harvested from the scalp: a cosmetic consideration in donor site selection Distal ekstremite defektlerinin temporaoparietal fasya ve skalpten alınan kısmi kalınlıklı deri grefti ile rekonstrüksiyonu: Donör saha seçimine kozmetik bir yaklaşım

Implications of Free Temporoparietal Fascial Flap Reconstruction in the Pediatric Population

“…By avoiding bending the flap, especially when using a long venous/arterial interposition grafts, it seems that these complications may have been fully avoided. Demirdover et al, 25 Ozkan et al, 26 and Wurzer et al 27 have offered more recent reports of FTPFF use in pediatric patients mirroring prior indications with the addition of laryngeal reconstruction in 1 patient. All of these cases have shown superior outcomes with no reported complications in long-term follow-up periods (3–39-month).…”

“…Indeed, most do not advocate for use of the FTPFF if a substantial defect is present. However, for the coverage of dorsal hand and foot defects and as a gliding surface over tendons, no flap compares to the FTPFF in terms of thinness, pliability, and overall aesthetic and functional result 26,28 . Additionally, in very small patients, use of the expanded TPFF technique may prove effective in other scenarios beyond traditional use in auricular reconstruction 24 .…”

“…However, for the coverage of dorsal hand and foot defects and as a gliding surface over tendons, no flap compares to the FTPFF in terms of thinness, pliability, and overall aesthetic and functional result. 26,28 Additionally, in very small patients, use of the expanded TPFF technique may prove effective in other scenarios beyond traditional use in auricular reconstruction. 24 Aside from the expanded TPFF technique, should a larger flap size be required, scoring the tendinous part of the flap/fascial surfaces may also increase the flap surface area significantly.…”

Temporoparietal Fascial Free Flap

“…The first recorded use of the FTPFF was for this exact purpose by Smith 6 in 1980. Since this novel method was proposed, numerous studies have expanded and elucidated the exact indications for its implementation 18,19,21,23–31,35,37–40,47 . Brent et al 27 described 15 cases of extremity and HNR reconstructions using an FTPFF.…”

“…Since this novel method was proposed, numerous studies have expanded and elucidated the exact indications for its implementation. 18,19,21,[23][24][25][26][27][28][29][30][31]35,[37][38][39][40]47 Brent et al 27 described 15 cases of extremity and HNR reconstructions using an FTPFF. Shortly afterward, Upton et al 30 published the first case series to detail solely extremity reconstructions in 7 patients using the FTPFF.…”