抄録
Temporal depressive deformity is sometimes seen after neurosurgery.
Various reports have described the correction of this temporal hollowing, but in most cases, artificial materials or non-vascularized autografts were used. However, these deformities are caused by atrophy or defect of temporal muscle and temporal fat pad, and these cases have already undergone operations, so the recipient condition is worse. Therefore, we prefer to use vascularized autografts. We describe three cases of temporal depressive deformity after neurosurgical reconstruction with an anterolateral thigh adipo-fascial flap tailored for each defect. The first two cases had complications with vascular difficulty. Reoperation was needed, and both flaps survived. However, in one case, the flap drooped at a follow-up of 2 months, so yet another operation was needed to replace volume.
We examine the first two cases and conclude that this method requires certain techniques to fix the flap to bone and skin, and to decide on the size of the monitoring flap in the adipo-fascial flap in order to avoid vascular difficulty. In the third case, we operated while considering these points, which resulted in no difficulties being encountered. Although there were some complications, all cases finally achieved good cosmetic and functional results and all donor sites healed without complications.
