| An anatomical study of the temporal fascia and related temporal pads of fat. | |
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MedLine Citation:
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PMID: 17255667 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Numerous reports have discussed the use of the temporal fascia in reconstructive surgery, an issue mandating a detailed study of the anatomy of this structure and its vasculature. METHODS: The material of the present study consisted of 44 specimens, obtained from two stillbirths and 20 embalmed cadavers after injecting the external carotid artery with lead oxide solution. The superficial temporal fascia was visualized by means of radiography to delineate its vasculature. RESULTS: The superficial temporal fascia split into two laminae: superficial and deep, the former being thicker over the lower third of the temporalis muscle resplit into two further layers. Its arterial supply was derived mainly from the superficial temporal artery, describing a proximal tortuous course in 13.6 percent of specimens supplemented by the zygomaticotemporal, zygomaticofacial, and posterior auricular arteries; the musculocutaneous perforators; and the zygomaticoorbital artery in 9.1 percent of specimens. The superficial temporal vein provided the venous drainage. The deep temporal fascia was thicker over the lower half of the temporalis where it split into superficial and deep layers. The fascial branch of the middle temporal artery provided its arterial supply and the muscular branch joined the loose areolar arterial network. Three temporal pads of fat (superficial, intermediate, and deep) were demonstrated. A temporal venous sinus was embedded within the deep and intermediate temporal pads of fat. CONCLUSIONS: The superficial temporal artery provides an extra length for raising superficial temporal artery-based flaps. Caution should be exercised whenever the temporalis myofascial flap is raised, to avoid injuring the temporal venous sinus. |
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Authors:
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Eman Elazab Beheiry; Fathia Ahmed Mohamed Abdel-Hamid |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Plastic and reconstructive surgery Volume: 119 ISSN: 1529-4242 ISO Abbreviation: Plast. Reconstr. Surg. Publication Date: 2007 Jan |
Date Detail:
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Created Date: 2007-01-26 Completed Date: 2007-02-20 Revised Date: 2011-02-16 |
Medline Journal Info:
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Nlm Unique ID: 1306050 Medline TA: Plast Reconstr Surg Country: United States |
Other Details:
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Languages: eng Pagination: 136-44 Citation Subset: AIM; IM |
Affiliation:
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Department of Anatomy and Embryology, Faculty of Medicine, Alexandria University, Alexandria, Egypt. emanazab@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Cadaver Fascia / anatomy & histology*, blood supply Humans Infant, Newborn Middle Aged Subcutaneous Fat / anatomy & histology*, blood supply Surgical Flaps Temporal Arteries |
| Comments/Corrections | |
Comment In:
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Plast Reconstr Surg. 2007 Oct;120(5):1432; author reply 1432-3
[PMID:
17898628
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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