Implications of Free Temporoparietal Fascial Flap Reconstruction in the Pediatric Population

Abstract

The temporoparietal fascial flap (TPFF) is a versatile tool that can be used in the reconstruction of head and neck and distal upper and lower extremity defects. The TPFF may be harvested as a pedicle or free flap as well as with the temporalis muscle and/or adjacent calvarial bone as a composite flap. As a free flap, the TPFF has been used as a joint gliding surface with coverage of nerves and tendons, for extremity soft tissue repair, for tracheal and pharyngeal coverage and for defects of the nose, scalp, and auricle. This article focuses on the use of the free TPFF in the pediatric population through systemic review of the medical literature. Current perspectives on the use of this flap and microsurgery in general in pediatric patients are addressed.

Temporoparietal Fascial Free Flap

“…Although other flaps, such as the radial forearm flap, may be considered by many as the first-line treatment for extremity defects, the FTPFF offers an aesthetically superior donor site in comparison. While use of the FTPFF should be encouraged for all patients with select injuries, increased emphasis should be placed on using this flap in the pediatric population where it has been shown to have excellent results 72 . With the advantageous combination of minimal donor morbidity and extreme thinness and pliability along with having a flexible and smooth gliding surface, usage of the FTPFF should be considered readily by the reconstructive surgeon should the discussed defects and appropriate indications arise.…”