title: Subperiosteal subtemporal approach: technique and applications.
abstract: The authors describe a craniofacial surgical approach that they have used since 1987. Based on existing anatomical continuity between the subtemporal plane and the cranial periosteum, it consists of a direct subperiosteal subtemporal cleavage. Preservation of continuity between the muscle and the periosteum allows the operator to return the temporalis muscle to a normal position at the end of the operation when the scalp is sutured. This approach avoids superficial cleaving of the temporalis muscle or section and reinsertion to the fronto-orbital rim. It also allows access to the upper third of the face without jeopardizing the frontal ramus of the facial nerve.
authors.affiliation: Department of Maxillofacial Surgery, Caen University Hospital, France.
authors.forename: D
authors.initials: D
authors.lastname: Labbé
authors.forename: P
authors.initials: P
authors.lastname: Hubert
authors.forename: M
authors.initials: M
authors.lastname: Rigot-Jolivet
authors.forename: A
authors.initials: A
authors.lastname: Madjidi
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D010521:Periosteum / Q000601:surgery*; D012535:Scalp / Q000601:surgery; D012886:Skull / Q000002:abnormalities / Q000293:injuries; D012888:Skull Neoplasms / Q000601:surgery; D013524:Surgical Flaps / Q000379:methods*; D013701:Temporal Bone / Q000601:surgery*