ORAL MAXILLO-FACIAL Surgery
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Throughout dissection, take precautions to avoid harm to the frontal branch of the facial nerve, which is situated along a line 0.5 cm below the tragus to a point 1.5 cm above the lateral brow. The temporoparietal fascia is positioned superficial to the deep temporal fascia. It is continuous with the galea superiorly and with the superficial musculoaponeurotic system inferiorly. Its blood provide is the superficial temporal artery, which lies on the superficial floor of the fascia.
The flap may be prolonged to include the galea together with the temporoparietal fascia. In addition, it may be elevated with the deep temporal fascia, making a double-layered vascularized fascial flap. Releasing the fascia from the zygomatic arch can enhance the pedicle length, and the superficial temporal vessels may be mobilized to the level of the parotid gland. The scapular or parascapular flap can be used to cowl hand or stump wounds.
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