Temporoparietal Fascial Free Flap

Abstract

The temporoparietal fascial flap (TPFF) is a versatile tool used in head and neck reconstructive surgeries as well as distal upper and lower extremity reconstructions. Depending on the anatomical location and characteristics of the recipient site soft tissue defects, harvesting techniques for TPFF retrieval may include elevation as a pedicle or a free flap, inclusion of the temporalis muscle and/or adjacent calvarial bone as a composite flap. The TPFF as a free flap is not only used for soft tissue coverage of various defects, and it can be used as a joint gliding surface with coverage of nerve and tendons after repair or trauma. This article includes a systematic search of the medical literature for indications, historical background, techniques, current perspective, and complications along with the pros and cons of the free TPFF compared with other potential reconstructive options.

Reconstruction of a Full-Thickness Ear Defect

“…In this case, in addition to its staged nature, the potential donor site complications including scalp alopecia and facial nerve damage made this approach unfavorable in this case. 2…”

Concepts in soft-tissue reconstruction of the contracted hand and upper extremity after burn injury

“…Fasciocutaneous flaps like the parascapular and anterior lateral thigh can be easily raised for secondary procedures ( 8 ). As in the dorsum, a fascia-only flap followed by skin grafting is also a good alternative including the local reverse radial forearm adipofascial flap or the temporoparietal fascial flap ( 85 ). Finally, as with the dorsum, groin or paraumbilical artery perforator flaps can be used although they present more difficulty in terms of positioning and bulk ( 86 ).…”

Colgajo de fascia temporoparietal para la obliteración de defectos por mastoidectomía radical en paciente pediátrico en un centro de referencia nacional

“…8 A pesar de que el CFTP es altamente utilizado en otros contextos, su uso y resultados para la obliteración postosteomielitis del hueso temporal aún se encuentran pobremente representados en la literatura. [9][10][11] Presentamos el caso de una paciente de 10 años con diagnóstico de osteomielitis por episodios repetidos de otitis media a quien se le realizó mastoidectomía radical y reconstrucción con el uso de CFTP en un hospital de referencia nacional.…”