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Subperiosteal subtemporal approach: technique and applications.
D Labbé1, P Hubert, M Rigot-Jolivet
1Department of Maxillofacial Surgery, Caen University Hospital, France.
Neurosurgery
|May 1, 1992
Summary
This craniofacial surgical technique utilizes subperiosteal subtemporal cleavage for improved access to the upper face. It preserves temporalis muscle continuity, allowing for normal repositioning and avoiding facial nerve damage.
Area of Science:
- Neurosurgery
- Craniofacial Surgery
- Surgical Anatomy
Background:
- The temporalis muscle is crucial for craniofacial structure and function.
- Previous surgical approaches often involved muscle division, leading to potential complications.
- Accessing the upper third of the face requires careful consideration of anatomical structures.
Purpose of the Study:
- To describe a refined craniofacial surgical approach.
- To detail a technique preserving the temporalis muscle and its periosteal attachments.
- To highlight the benefits of this approach for accessing the upper face.
Main Methods:
- A direct subperiosteal subtemporal cleavage is performed.
- Anatomical continuity between the subtemporal plane and cranial periosteum is leveraged.
- The temporalis muscle's continuity with the periosteum is maintained throughout the procedure.
Main Results:
- The temporalis muscle can be returned to its normal position post-operation.
- This method avoids superficial cleaving or reinsertion of the temporalis muscle.
- Safe access to the upper face is achieved without compromising the frontal ramus of the facial nerve.
Conclusions:
- This craniofacial surgical approach offers a safe and effective method for upper facial access.
- Preservation of muscle-periosteal continuity facilitates uncomplicated muscle repositioning.
- The technique minimizes risks associated with temporalis muscle manipulation and facial nerve injury.