Clinical applications of free temporoparietal flaps in hand reconstruction.
Vascularized temporoparietal fascia can be used to cover deficits up to 14.0 X 12.0 cm in the hand or fingers. The tissue is thin, pliable, and has a smooth gliding surface advantageous to tendon function. Through scalp incisions, with meticulous yet straightforward dissection, this fascia can be isolated as a vascular island based on the superficial temporal artery system. Vessels are large and the anatomy is constant. Technique and clinical applications are discussed in detail.
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005205:Fascia / Q000098:blood supply / Q000637:transplantation; D006225:Hand / Q000098:blood supply / Q000601:surgery*; D006230:Hand Injuries / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000601:surgery; D011183:Postoperative Complications; D012535:Scalp; D013524:Surgical Flaps