The Pedicled Temporoparietal Fascial Flap

The document from 2019 reviews the pedicled temporoparietal fascial flap (TPFF), highlighting its versatility and reliability in reconstructive surgery of the head and neck, particularly for defects in the temporal bone, orbitomaxillary complex, and anterior skull base. It details the flap's anatomy, operative technique, and potential complications such as alopecia and scalp paresthesia, which generally resolve over time. The TPFF is favored in situations with devascularized tissue and is a valuable alternative to microvascular free tissue transfer, offering minimal donor site morbidity and ease of harvest. Despite newer techniques, the TPFF remains a relevant and effective option for locoregional defect reconstruction.