The vascularized temporoparietal fascial flap for correction of the deep superior sulcus

The deep superior sulcus is one of the more difficult problems to correct in the enophthalmic or anophthalmic orbit. Multiple procedures as well as materials have been proposed in recent years to address the cosmetic deformity. These methods have used a number of alloplastic and autogenous materials. Ideal correction of a soft tissue deformity uses well-vascularized autogenous tissue. This paper introduces the use of the temporoparietal fascial flap for correction of the deep superior sulcus. The advantages of this flap over other materials lies in its pliability, vascularity, thinness, ease of mobilization, and minimal subsequent donor site morbidity or deformity.