[Fronto-temporal anatomy and its application for augmentation plasty].

Zhonghua Zheng Xing Wai Ke Za Zhi

Department of Plastic Surgery, Hangzhou Plastic Surgery Hospital, Hangzhou 310014, China.

Published: May 2004

Objective: To decide the safe dissection plane and evaluate the multiple materials used for the fronto-temporal augmentation.

Methods: Clinical anatomical observation were made during the fronto-temporal operations. Forty-one patients were treated for the fronto-temporal augmentation with various granular or patched materials in different anatomical plane.

Results: Four relatively safe dissection planes were found in the fronto-temporal area: (1) subcutaneous or above superficial temporal fascia, (2) subgalea plane 1.5 cm above the zygomatic arch, (3) between the deep temporal fascia and the temporal muscle, and (4) beneath the temporal periosteum. With the follow-ups from 6 months to 1 year, the appearance after the fronto-temporal augmentation in each patient was satisfactory or improved, except for the fat granule group with partial absorption and the ePTFE or Medpor hypothesis group shown a stepped contouring at the margin in a few patients.

Conclusion: Four dissection planes could be shown in the fronto-temporal region for the augmentation plasty with different advantages and disadvantages. The combination could be overcome the disadvantages to improve the results. Fat granule could be the best autograft for frontotemporal augmentation.

Download full-text PDF

Source

Publication Analysis

Top Keywords

safe dissection
8
fronto-temporal augmentation
8
dissection planes
8
planes fronto-temporal
8
temporal fascia
8
fat granule
8
fronto-temporal
6
augmentation
5
[fronto-temporal anatomy
4
anatomy application
4

Similar Publications

Background: Endoscopic submucosal dissection (ESD) is a standardized procedure for intramucosal and slightly invasive submucosal colorectal cancers (CRC). However, the role of ESD for T1b (depth of submucosal invasion: ≥1,000 μm) CRC remains unclear. This study aimed to investigate the long-term efficacy and safety of ESD for T1b CRC.

View Article and Find Full Text PDF

Background: Submucosal tunneling endoscopic resection (STER) is considered an effective, safe and minimally invasive treatment for esophageal subepithelial lesions (SELs) with maximal dilameter less than 3.0 cm, yet its efficacy for lesions over 3.0 cm remains unclear.

View Article and Find Full Text PDF

Background: An anomalous left vertebral artery (aLVA) can complicate aortic arch surgery. We examined the safety of various aLVA revascularization strategies during open total arch replacement.

Methods: We retrospectively evaluated 92 patients undergoing total arch replacement from January 2018 to May 2023 and identified 11 patients with aLVA.

View Article and Find Full Text PDF

How I do it - focused Sylvian approach for clipping of middle cerebral artery aneurysms.

Acta Neurochir (Wien)

January 2025

Department of Neurosurgery, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Germany.

Background: The Focused Sylvian Approach (FSA) is a refined, minimally invasive technique for clipping small to medium-sized middle cerebral artery (MCA) aneurysms, prioritizing safety and aesthetics.

Method: The craniotomy remains confined to the superior temporal line, with the incision concealed within the temporal muscle. The Sylvian fissure is carefully dissected to preserve venous structures.

View Article and Find Full Text PDF

Objectives: Mal-deployment of the thoracic endovascular aortic repair (TEVAR) stent graft during a frozen elephant trunk (FET) procedure for an acute type A aortic dissection (ATAAD) leads to devastating complications. We report a hemiarch replacement with TEVAR stent graft covering the aortic arch vessels salvaged through an endovascular approach.

Methods: A 69-year-old man with ATAAD in 2018, status post-hemiarch repair with TEVAR, presented in 2023 with progressive dizziness/syncope and lower extremity hypertension with inability to tolerate anti-hypertensives.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!