Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 65, Issue 2 , Pages 141-148, February 2012

The versatility of the temporoparietal fascia flap in head and neck reconstruction☆

  • Ryan M. Collar

      Affiliations

    • Department of Otolaryngology Head and Neck Surgery, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, USA
    • Corresponding Author InformationCorresponding author.
    • ,
  • David Zopf

      Affiliations

    • Department of Otolaryngology Head and Neck Surgery, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, USA
    • ,
  • David Brown

      Affiliations

    • Department of Plastic Surgery, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, USA
    • ,
  • Kevin Fung

      Affiliations

    • Department of Otolaryngology Head and Neck Surgery, University of Western Ontario, 1151 Richmond Street, London, Ontario, Canada
    • ,
  • Jennifer Kim

      Affiliations

    • Department of Otolaryngology Head and Neck Surgery, University of Michigan, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, USA

Received 11 November 2010; accepted 11 May 2011. published online 23 June 2011.

Summary 

Objectives

The temporoparietal fascia flap (TPFF) is a versatile tool in head and neck reconstruction. This article aims to describe the spectrum of TPFF applications through a series of case studies and related review of the literature.

Methods

Medical records were reviewed to identify cases that represent major TPFF application categories. A literature review was performed to support the presentation and discussion of each case category.

Results

Seven cases were identified each representing a distinct application category. These included auricular reconstruction, hair-bearing tissue transfer, facial soft tissue augmentation, cutaneous and mucosal oncologic defect repair, reconstruction after salvage laryngectomy, skull base reconstruction, and orbital reconstruction.

Conclusion

The TPFF is a uniquely versatile tool in head and neck reconstructive surgery. Outstanding in its pliable, ultra-thin yet hardy and highly vascular form, the temporoparietal fascia flap is a workhorse for the creative head and neck reconstructive surgeon.

Keywords: Temporoparietal, TPFF, Reconstruction, Auricular, Orbital, Skull base

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☆ Presented at the 10th International Symposium for Facial Plastic Surgery in Hollywood, Florida, May 2010.

PII: S1748-6815(11)00242-7

doi:10.1016/j.bjps.2011.05.003

Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 65, Issue 2 , Pages 141-148, February 2012

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