2018
DOI: 10.1097/scs.0000000000004639
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Abstract: Catastrophic complications were associated with injection augmentation of both fat and dermal filler in the temporal region. In contrast, use of alloplastic materials was not found to be associated with any catastrophic complications. As such, for the most severe cases of THD, we prefer to employ alloplastic reconstruction.

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Cited by 24 publications
(30 citation statements)
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“…Another challenge when correcting THD is its unpredictable onset (ranging from early, i.e., within a few weeks, to several months after injury) and the progressive nature [ 14 , 15 ]. THD is often identified clinically 6 months after the surgery [ 13 ] and worsens with time due to progression of atrophy [ 6 ]. In addition, as THD is due to temporal muscle atrophy rather than bone deformity, it is difficult to perform objective measurement of THD by radiologic study.…”
Section: Discussionmentioning
confidence: 99%
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“…Another challenge when correcting THD is its unpredictable onset (ranging from early, i.e., within a few weeks, to several months after injury) and the progressive nature [ 14 , 15 ]. THD is often identified clinically 6 months after the surgery [ 13 ] and worsens with time due to progression of atrophy [ 6 ]. In addition, as THD is due to temporal muscle atrophy rather than bone deformity, it is difficult to perform objective measurement of THD by radiologic study.…”
Section: Discussionmentioning
confidence: 99%
“…Autologous fat grafts and filler injections are most commonly used for correction of THD [ 21 , 22 ]; they are technically simple, have minimal or no donor site morbidity, and can be performed under local anesthesia in the outpatient clinic. However, they show unpredictable resorption, as the temporal region has decreased vascularity due to previous surgical procedures; therefore, repeated procedures may be required [ 6 , 23 ]. Moreover, there have been reports of catastrophic complications, such as fat embolism, stroke, blindness, and even death after fat graft or filler injection [ 24 28 ].…”
Section: Discussionmentioning
confidence: 99%
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“…In this study, suprafascial dissection without leaving the muscle cuff, which does not expose and cut the interfascial fat pad, caused an 18.2% incidence of temporal hollowing. This suggests that the atrophy of the temporalis muscle[ 12 , 16 , 19 , 24 , 25 ] and suprafascial fat pad also plays a role in temporal hollowing. The incidence of temporal hollowing in this group was lower than rates reported by Matic and Kim[ 14 ] This may result from differences in surgical procedures and the definition of temporal hollowing.…”
Section: Discussionmentioning
confidence: 99%
“…Temporal hollowing is reported to occur after 87–100% of temporal craniotomies. [ 12 , 16 , 19 , 24 , 25 ] In plastic (facial bone) surgery, the incidence of temporal hollowing is lowest when the suprafascial (subgaleal) plane was used (called suprafascial dissection by the authors) for the creation of the bicoronal flap without the risk of postoperative frontalis paralysis [ Figure 1 ]. [ 14 , 25 ] When the authors harvested the frontal branch of the superficial temporal artery from the inner side of the scalp flap for double-barrel superficial temporal artery–middle cerebral artery bypass, the suprafascial plane was routinely dissected before harvest.…”
Section: Introductionmentioning
confidence: 99%