Temporoparietal fascia

The temporoparietal fascia (or superficial temporal fascia)[1]: 357 [2] is a superficial fascia of the side of the head over the area of the temporal fossa[2] situated superficial to the (deep) temporal fascia,[1]: 357 [2] and deep to the skin and subcutaneous tissue of the region.[2]

Anatomy

The temporoparietal fascia consists of a thin layer of connective tissue.[3] It measures some 2-3mm in thickness.[2]

Relations

The fascia unites anteriorly with the orbicularis oris muscle, and the frontalis muscle; it unites posteriorly with the occipitalis muscle. Inferior to the zygomatic arch, the fascia is continuous with the superficial muscular aponeurotic system; both structures are continuous with the platysma muscle of the neck, creating a single continuous fascial layer between the scalp superiorly and the clavicle inferiorly.[2]

The fascia is situated superficial to the (deep) temporal fascia,[1]: 357 [2] with an intervening layer of (sources differ) avascular loose connective tissue (the innominate fascia) situated in the interval between the two fasciae; this structural arrangement of loose superficial layers and deep rigit layers confers a combination of mobility coupled with structural integrity to the region.[2]

The superficial temporal artery and vein, and the auriculotemporal nerve course within or just deep to the temporoparietal fascia,[1]: 357  and the frontal branch of the frontal nerve (CN VII) courses within the fascia.[2]

Clinical significance

The temporoparietal fascia can serve as a donor tissue for reconstructive surgery. It affords reliable flaps with good blood supply when the tissues of the region are intact (however, prior lesions to the region may compromise the blood supply of the tissues; creating flaps from such compromised tissue is contraindicated due to a risk of subsequent ischaemic necrosis of the flap).[2]

References

  1. 1 2 3 4 Sinnatamby, Chummy S. (2011). Last's Anatomy (12th ed.). ISBN 978-0-7295-3752-0.
  2. 1 2 3 4 5 6 7 8 9 10 Bohr, Colin; Bajaj, Jitin; Soriano, Roberto M.; Shermetaro, Carl (2023), "Anatomy, Head and Neck, Temporoparietal Fascia", StatPearls, Treasure Island (FL): StatPearls Publishing, PMID 29939689, retrieved 2023-07-27
  3. ↑ Jawad, Basit A.; Raggio, Blake S. (2023), "Temporoparietal Fascia Flaps", StatPearls, Treasure Island (FL): StatPearls Publishing, PMID 32310365, retrieved 2023-07-27
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