China
Africa
Explore chapters and articles related to this topic
Case 2.1
Published in Monica Fawzy, Plastic Surgery Vivas for the FRCS(Plast), 2023
You see this man in clinic 6 months following a superficial parotidectomy and neck dissection, and he mentions that he has developed copious ‘sweating’ from his cheek when he eats. He remembers you mentioning this risk pre-operatively. How do you manage him?His symptoms are consistent with that of Frey’s syndrome, which is due to the aberrant regeneration of severed parasympathetic fibres between the otic ganglion and the skin. I will treat this with chemodenervation, which is successful in controlling symptoms in the vast majority of cases.In the rare event that it is not, surgical options consist of lipofilling, the interposition of dermal grafts, or a superficial temporoparietal fascia transfer.
Anatomy of the Forehead and Periocular Region
Published in Neil S. Sadick, Illustrated Manual of Injectable Fillers, 2020
Marcelo B. Antunes, Stephen A. Goldstein
Most of the motor innervations of the upper third of the face come from the frontal branch of the facial nerve. The main trunk of the facial nerve divides at the pes anserinus, typically into a superior and inferior division. The two divisions terminate with a total of five branches. The frontal branch originates from the superior division of the facial nerve. A cadaveric study tracing the topographic relationships of the frontal branch to the surrounding fascial layers revealed between one to four identifiable branches. More than one branch is encountered in about 85% of the cases, with two branches being most common at 57.1% (4). The trajectory of the frontal branches is roughly along a line that runs from the attachment of the ear lobe (about 5 mm below the tragus) to a point 1.5 cm above the lateral aspect of the ipsilateral brow, also known as Pitanguy’s line (5). Anatomically, this is a point half the distance between the root of the helix and the lateral canthus. The nerve is found between the superficial temporoparietal fascia and the superficial layer of the deep temporal fascia, until they penetrate the deep surface of the frontalis muscle.
General plastic
Published in Tor Wo Chiu, Stone’s Plastic Surgery Facts, 2018
The temporoparietal fascia (TPF) is a large thin fascial sheet that covers the temporal, parietal and occipital areas of the scalp. It is an extension of the SMAS layer, passing from the face to the scalp, and continues above the temporal line as the galea aponeurosis, densely adherent to overlying skin/fat via connective tissue and separated by loose areolar tissue from the underlying pericranium. The temporalis muscle and temporalis fascia (deep temporal fascia) lie deep to the TPF inferior to the temporal line (Figure 11.4).
Reconstruction of necrotizing soft tissue infection in the auricle and temporal region: a case report
Published in Case Reports in Plastic Surgery and Hand Surgery, 2023
Junpei Saito, Shoichi Ishikawa, Shigeru Ichioka
Generally, the auricular region reconstruction often involves the use of local skin flaps made from the adjacent skin, temporoparietal fascia, or mastoid facia [6–9]. Therefore, the temporalis flap was selected to salvage the auricle, which was partially separated from the temporal region as much as possible. The muscular flap is resistant to infection as the tissue with abundant blood flow and is thought to be advantageous in covering exposed tissues with poor blood flow [10]. Conversely, the disadvantage of this approach is that if a temporary reconstruction is performed using adjacent tissues in the extreme phase of infection, the tissue may indeed be infected or necrotic. In the present case, the temporalis muscle below the superficial and deep temporal fascia, the primary site of infection, was not necrotic due to infection based on the appearance, such as color tone, and findings, such as petechial hemorrhage. As infection and inflammation in the surrounding tissues have not been completely controlled by debridement, inflammation may spread to the periosteum because of the exposed temporalis muscle, resulting in partial cranial bone exposure.
Locally advanced sinonasal adenoid cystic carcinomas: endoscopic endonasal surgery-centered comprehensive treatment provides benefits
Published in Acta Oto-Laryngologica, 2023
Jin Wang, Meng Zhang, Wenqi Yi, Liang Li, Liangyu Li, Chuan Pang, Lei Chen
SNACCs sometimes cause skull base and dural invasion, which often coincide with the sphenoid sinus invasion, whereas frontal sinus involvement is rare. As such, an EES can be leveraged for the surgical management of these lesions. Furthermore, various materials have been employed to repair the damaged anterior skull base, including pedicled septal mucosal flaps, temporoparietal fascia flaps, or inferior and middle turbinate flaps. In this study, we utilized artificial dura materials to repair these defects in one patient without cerebrospinal fluid rhinorrhea. All patients exhibiting anterior cranial base involvement were postoperatively treated with mannitol to protect against potential complications associated with elevated intracranial pressure.
Auricular reconstruction using Medpor combined with different hearing rehabilitation approaches for microtia
Published in Acta Oto-Laryngologica, 2021
Chenyan Jiang, Chen Zhao, Bin Chen, Lixin Lu, Yuxin Sun, Xiaojun Yan, Bin Yi, Hao Wu, Runjie Shi
A Doppler probe was used to mark the position of the anterior and posterior branches of the superficial temporal artery. A T- or Y-shaped incision over the temporal and parietal scalp was made to the depth level of the hair follicles. The temporoparietal fascia flap（TPF）containing the superficial temporal vessels was separated above the plane of the deep temporal fascia and skull membrane. In patients undergoing the EACR procedure simultaneously, the size of the TPF was expanded to 12 × 12 cm, which is larger than the normal size of 10 × 10 cm. The scalp flaps were closed with 1–0 prolene sutures, and a polyethylene drain with multiple perforations was inserted under the scalp sutured with 1–0 nylon suture and removed after 5–7 days.