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October 1995

An Anatomic Study of the Temporoparietal Fascial Flap

Author Affiliations

From the Department of Otolaryngology, Division of Facial Plastic and Reconstructive Surgery, Massachusetts Eye and Ear Infirmary (Dr Cheney), and the Department of Otology and Laryngology, Harvard Medical School (Dr David), Boston.

Arch Otolaryngol Head Neck Surg. 1995;121(10):1153-1156. doi:10.1001/archotol.1995.01890100061010

Objective:  To clarify the neurovascular relationships in the temporoparietal fascial flap and to access its possible use as a sensate free of a pedicled flap.

Design:  Anatomic dissections (gross) and examinations (histologic) were performed on 10 fresh cadaver heads.

Setting:  Academic tertiary care facility, Boston, Mass.

Main Outcome Measures:  To determine the relationship of the sensory innervation (the auriculotemporal nerve) to the vascular supply (the superficial temporal artery) of the temporoparietal fascial flap, in addition to determining safe incisions and the level of flap elevation that will preserve the sensory supply to the flap.

Results:  There is a consistent relationship of the auriculotemporal nerve to the superficial temporal artery allowing for auriculotemporal nerve preservation with standard flap elevation techniques and easy nerve identification in this cadaveric study.

Conclusion:  A clear understanding of the anatomic pattern allows for the potential creation of a sensate fascial flap or vascularized nerve graft that would add a potential additional dimension to this fascial flap.(Arch Otolaryngol Head Neck Surg. 1995;121:1153-1156)