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Temporoparietal Fascial Free Flap: A Systematic Review
Sydney R Horen1, Alireza Hamidian Jahromi1, Petros Konofaos2
1From the Department of Plastic and Reconstructive Surgery, Rush University Medical Center, Chicago, IL.
Annals of Plastic Surgery
|August 13, 2021
Summary
The temporoparietal fascial flap (TPFF) offers versatile reconstruction for head, neck, and limb defects. This review explores its techniques, applications, and compares free TPFFs to other reconstructive methods.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Anatomy
Background:
- The temporoparietal fascial flap (TPFF) is a widely utilized flap in reconstructive surgery.
- Its versatility allows for application in head and neck, as well as extremity reconstructions.
Purpose of the Study:
- To systematically review the indications, techniques, and outcomes of the free temporoparietal fascial flap (free TPFF).
- To compare the advantages and disadvantages of the free TPFF against alternative reconstructive options.
Main Methods:
- Systematic literature search for studies on TPFF in reconstructive surgery.
- Analysis of harvesting techniques, including pedicled, free, and composite flaps.
- Evaluation of flap applications for soft tissue coverage and joint gliding surfaces.
Main Results:
- The free TPFF is effective for soft tissue coverage and as a joint gliding surface for nerves and tendons.
- Harvesting techniques vary based on defect characteristics, including muscle or bone inclusion.
- The review encompasses historical context, current perspectives, and complications.
Conclusions:
- The free TPFF is a valuable reconstructive option with diverse applications.
- Understanding its variations and comparing it to alternatives is crucial for optimal patient outcomes.

