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A Modified Pre-Auricular Approach to the Temporomandibular Joint and Malar Arch
Published in Niall MH McLeod, Peter A Brennan, 50 Landmark Papers every Oral & Maxillofacial Surgeon Should Know, 2020
Oliver Mitchell, Madan Ethunandan
Superiorly the temporal fascia is a single, thick layer attached to the entire extent of the superior temporal line. At about 2 cm above the zygomatic arch the temporal fascia divides into two layers, one of which is attached to the lateral aspect of the periosteum of the zygomatic arch while the other is attached to the medial aspect.
Volumetric Approach to the Upper Face
Published in Neil S. Sadick, Illustrated Manual of Injectable Fillers, 2020
Deborshi Roy, Sachin M. Shridharani
Superomedially, the temple is defined by the temporal line—the insertion of the temporalis muscle into the frontal bone. Inferiorly, the temple ends at the zygomatic arch. Within this area is the temporalis muscle, its investing fascia, and fat; volume loss in the temporal area will cause a prominent depression from two key fat pockets deep to the temporalis fascia. Adding volume to this area can have a dramatic effect on the appearance of the upper face, giving a youthful, healthy look.
Nasopharynx
Published in Neeraj Sethi, R. James A. England, Neil de Zoysa, Head, Neck and Thyroid Surgery, 2020
The infratemporal approach requires removal of the zygoma and reflection of the temporalis muscle. A hemicoronal incision is made from below the zygoma in the preauricular area and extends behind the hairline. Dissection proceeds in the lateral superficial to the temporals fascia. Anteriorly, a fat pad on the muscle protects the superior branch of the facial nerve. At this point, dissection proceeds deep to the fascia and fat pad. From the posterior margin of the muscle, incise the muscle 1 cm below the superior temporal line down to deep fascia in order to mobilise the muscle inferiorly. Incise the deep fascia along the superior surface of the zygoma. Remove the zygomatic arch after pre-plating in order to facilitate reconstruction on completion of tumour dissection. Inferior dissection is medial to the coronoid process of the mandible.
Summarizing the medieval anatomy of the head and brain in a single image: Magnus Hundt (1501) and Johann Dryander (1537) as transitional pre-Vesalian anatomists
Published in Journal of the History of the Neurosciences, 2022
The “skull” band (or layer) in the figure (labeled E) has several wavy lines, which represent cranial sutures, but drawn as if viewed from above rather than from a three-quarter view, as the rest of the figure is; consequently, the sagittal suture appears to run over the left frontoparietal area near the superior temporal line (i.e., the apex of the temporalis muscle insertion), rather than along the midline of the skull from the bregma. Moving from left to right, within the skull band, the sutures represented are (with symbols from the bottom of the left-side legend): Y. Coronalis (Coronal; note the Gothic “Y” is rotated 90 degrees to the left), Z. Sagittal (note the Gothic Z in the figure is a minuscule letter rotated 90 degrees to the left, whereas in the legend the letter is a majuscule) and +. Lauda (sic, Lambdoid).
A temporofrontal fascia flap that penetrated temporal muscle for the reconstruction of an anterior skull base bone and dura: a technical case report
Published in British Journal of Neurosurgery, 2019
Makoto Katsuno, Koichi Uchida, Akira Matsuno
An extended frontotemporal skin incision was made to expose the adjacent middle cranial fossa. A two-layer scalp elevation was used to harvest the pedicled periosteal and temporal fascia flap. The skin flap was elevated just above the temporal fascia laterally and just below the galea on the forehead. After sufficient scalp elevation, the periosteum, which is continuous with the deep temporal fascia at the temporal line, was incised as widely as possible. This procedure creates a pedicled flap from the periosteum to the temporal fascia, with the inferior position of its base supplied by the middle temporal artery (Figures 1(A), 2(A)). The temporal muscle was dissected along the temporal line and the muscle was retracted in a posterolateral direction without damaging the muscle belly. After both the tumour and the dura, which was the origin of the tumour, were completely removed through frontotemporal craniotomy with an anterior clinoidectomy, the temporal muscle belly, which is located at the level of the middle fossa, was split approximately 2 cm along the muscle fibres (Figure 1(B)) and the pedicled flap was passed through those (Figure 2(B)). The large penetrated pedicled flap can cover both the dura and bone defects after anterior clinoidectomy. In particular, this flap can extend not only to the sphenoid bone but also to the anterior clinoid process. Finally, holes were drilled at the temporal line of the bone flap and the temporal muscle without the fascia was sutured to the bone flap at these holes for reconstruction of the temporal muscle after the cranioplasty (Figure 1(C)). Although it is unnecessary to replace spinal drainage postoperatively, following this procedure, mouth opening is limited due to the dissection of the temporal fascia. Therefore, early rehabilitation for mouth opening is required to prevent amyotrophy of the temporal muscle from disuse. During the 2-year follow up, the patient was reported to not suffering from CSF leakage, meningitis, skin issues or temporal muscle dysfunction.