Management of Temporoparietal Flap on Difficult Facial Deformities With Minimal Donor Site Morbidity

• Published in: The Journal of craniofacial surgery
• Main Authors: Horoz, Ugur, Tellioglu, Ali Teoman
• Format: Journal Article
• Language: English
• Published: 20-11-2024
• ISSN: 1049-2275; 1536-3732
• DOI: 10.1097/SCS.0000000000010874

The aim of this study is to investigate the use of the temporoparietal fascial flap (TPFF) in the repair of tissue defects in the head and neck region. TPFF is a preferred method among surgeons due to its thin and flexible structure and its strong vascular structure supplied by the superficial temporal artery. In the study, the operations performed on a total of 21 patients and the results of these operations were analyzed. TPFF has been used in the repair of facial and neck deformities caused by various reasons such as trauma, infection, Romberg syndrome and skin tumors. It has been reported that TPFF, which can be applied as a pedicled or free flap, gives aesthetically satisfactory results without significant complications on the flap. However, minor complications such as partial flap loss, hematoma and skin graft loss were observed in four patients. These complications were resolved by surgical interventions. In conclusion, TPFF is defined as an effective and safe option for the repair of various tissue defects with minimal donor-site morbidity. Thanks to the thin and flexible structure of the flap, aesthetic harmony is achieved although the risk of complications remains at low levels. Therefore, TPFF stands out as an important option for surgeons, especially in the elimination of facial contour irregularities and repair of sensitive tissue areas.