Ali Teoman TELLİOĞLU, İbrahim TEKDEMİR, Nuray BAYAR

Temporoparietal bölgenin arteriyal anatomisi: Anatomik kadavra çalışması

Temporoparietal bölge baş ve boyun cerrahisinde, vaskülarize parietal kemik içeren komposit fleplerden, saçlı deri içeren cilt fleplerine kadar pek çok rekonstrüktif seçeneğin hazırlanabildiği bir alandır. Bu bölgedeki ameliyat izlerinin de saçlı deri içerisinde kalması da önemli bir avantajdır. Bu çalışmada temporoparietal alanın arteriyel anatomisini göstermek için toplam 5 hastadaki 10 temporoparietal alan incelendi. Temporoparietal bölgede bulunan üç arterden, a. temporalis superficialis temporoparietal fasiayı, a. temporalis superficialis dalı olan a. temporalis media fascia temporalis profundayı ve a. temporalis profunda da m. temporalisi besler. Diseksiyonlarımız esnasında bu üç arterin linea temporalis çevresinde birbirleriyle yoğun bir şekilde anastomoz yaptıkları gözlendi. Bu anastomozlardan yararlanarak m. temporalis flebinin kraniyofasial bölgedeki rotasyon arkı genişletilebilir. Birkaç fasial tabakadan oluşan flepler hazırlanabilir. Son olarak vaskülarize parietal kemik greftinin beslenmesi güçlendirilebilir.

Arterial anatomy of temporoparietal region: An anatomic cadaver study

Many flap modalities, e.g. composite flaps with vascularized parietal bone or skin flaps with hair can be harvested from the Temporoparietal area. The scar of Temporoparietal region can easily be hidden by hair. Totally 5 cadavers (10 Temporoparietal area ) were investigated to demonstrate arterial anatomy of the temporoparietal area. There are three arterial structures in the temporoparietal area. The superficial temporal artery supply the temporoparietal fascia. The middle temporal artery nourishes the temporal fascia and then the deep temporal artery vascularizes the temporal muscle. All anatomic dissections showed that these arterial systems anastamoz around the temporal line. This finding may be useful in some new clinical applications. First, the rotation arch of the temporal muscle- can be extended in craniofascial region. Second, multilayed fascial flaps can be harvested on the base of the superficial temporal vessels. Finally the vascular supply of the parietal bone flap can be increased.

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