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Assessing Preventative and Postoperative Interventions for Temporal Wasting Following Neurosurgical Intervention: A

Andrew J Rothka1, Hänel W Eberly2, Jacqueline Tucker3

  • 1Department of Surgery, University of North Carolina, Chapel Hill, North Carolina, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|February 16, 2026
PubMed
Summary

Temporal wasting is a common complication following neurosurgery. Techniques like fat grafting and implants offer satisfactory outcomes for patients needing reconstruction.

Keywords:
craniectomycraniotomysystematic reviewtemporal hollowingtemporal wasting

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Area of Science:

  • Neurosurgery
  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Temporal wasting, a common sequela of neurosurgical interventions, affects patient aesthetics and well-being.
  • Evaluating preventative and corrective strategies is crucial for improving patient outcomes.

Purpose of the Study:

  • To systematically review and evaluate preventative and corrective techniques for managing postoperative temporal wasting.
  • To assess the efficacy and patient satisfaction associated with various reconstructive methods.

Main Methods:

  • A comprehensive literature search was conducted across PubMed, Cochrane, Web of Science, and SCOPUS databases.
  • Included studies focused on temporal wasting in the context of neurosurgical procedures and discussed management techniques.
  • Data from 57 studies involving 2378 patients were analyzed.

Main Results:

  • Temporal wasting occurred in 32.0% of patients post-neurosurgery.
  • Preventative techniques showed a 17.7% incidence of temporal wasting.
  • Reconstructive options including implants, fat grafting, and flaps were assessed, with high patient satisfaction (79.3%) reported in studies mentioning outcomes.

Conclusions:

  • Temporal wasting is a significant concern after neurosurgical procedures.
  • Autologous fat grafting, implants, and free flap procedures are effective reconstructive options.
  • These techniques can lead to satisfactory patient outcomes despite potential complications.