title: [Split temporalis muscle flap vascularized by the superficial temporal pedicle].
abstract: BACKGROUND
  The temporalis muscle has been used for more than a century for facial reconstruction. But this flap cannot fill defects beyond the midline. Splitting the temporalis muscle in the plane of the tendon insertion allows lengthening the flap and crossing the midline.
  
  
  METHODS
  The scalp incision is followed by a subcutaneous dissection, taking care to spare hair follicles and superficial temporal vessels. Then the temporalis muscle is detached by a strictly subperiosteal dissection and deep temporal pedicles are dissected and ligated. The flap is split in the plane of the insertion tendon up to its distal end.
  
  
  CONCLUSIONS
  This technique allows reconstructing cranio-facial defect beyond the midline with well-vascularized tissue.
authors.affiliation: Service de chirurgie maxillo-faciale et plastique, centre hospitalier universitaire de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France. Electronic address: alexis.veyssiere@hotmail.fr.
authors.forename: A
authors.initials: A
authors.lastname: Veyssiere
authors.affiliation: Service de chirurgie maxillo-faciale et plastique, centre hospitalier universitaire de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France.
authors.forename: A
authors.initials: A
authors.lastname: Taupin
authors.affiliation: Service de chirurgie maxillo-faciale et plastique, centre hospitalier universitaire de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France.
authors.forename: N
authors.initials: N
authors.lastname: Leprovost
authors.affiliation: Service de chirurgie maxillo-faciale et plastique, centre hospitalier universitaire de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France.
authors.forename: A
authors.initials: A
authors.lastname: Caillot
authors.affiliation: Service de chirurgie maxillo-faciale et plastique, centre hospitalier universitaire de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France.
authors.forename: J-F
authors.initials: JF
authors.lastname: Compère
authors.affiliation: Service de chirurgie maxillo-faciale et plastique, centre hospitalier universitaire de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France.
authors.forename: H
authors.initials: H
authors.lastname: Benateau
mesh_terms: D000368:Aged; D064595:Composite Tissue Allografts / Q000637:transplantation*; D006801:Humans; D008875:Middle Aged; D019647:Oral Surgical Procedures / Q000379:methods*; D011183:Postoperative Complications / Q000209:etiology; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods*; D013524:Surgical Flaps; D013703:Temporal Muscle / Q000601:surgery / Q000637:transplantation
keywords: Artères temporales; Lambeau; Muscle temporal; Reconstruction chirurgicale; Reconstructive surgical procedures; Surgical flap; Temporal arteries; Temporal muscle