Throughout dissection, take precautions to avoid harm to the frontal department of the facial nerve, which is positioned alongside a line 0.5 cm beneath the tragus to a degree 1.5 cm above the lateral brow. The temporoparietal fascia is located superficial to the deep temporal fascia. It’s steady with the galea superiorly and with the superficial musculoaponeurotic system inferiorly. Its blood supply is the superficial temporal artery, which lies on the superficial surface of the fascia. The flap may be prolonged to include the galea along 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 improve the pedicle size, and the superficial temporal vessels may be mobilized to the extent of the parotid gland. The scapular or parascapular flap can be used to cowl hand or stump wounds. It isn’t a sensory flap however it does not sacrifice any main vessels. The realm of the flap could also be pre-expanded with tissue enlargement strategies to create a larger skin paddle for protect The strap is used as a backing strap to bend the ribs after steaming.
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