Postauricular fascia is thicker than
temporal fascia but can be folded to wrap diced cartilage grafts.
Because this layer is continuous laterally with the
temporal fascia overlying the temporalis muscle, it is particularly sensitive to jaw tension.
The flap was separated from the underlying deep
temporal fascia easily, as the loose areolar tissue on the deep surface presents minimal resistance to elevation.
More proximally, it was dissected superficial to the
temporal fascia.
We have developed a new technique for reconstructive cranioplasty that involves the use of hydroxyapatite cement and a pericranial/deep
temporal fascia graft.
The tympanic membrane perforation was freshened, and a
temporal fascia underlay graft was placed.
We performed a right subtotal petrosectomy, a repair of the tegmen defect with a
temporal fascia and fat graft secured with fibrin glue, and a blind sac closure of the right external auditory canal.
The eardrum had been reconstructed with
temporal fascia in an overlay fashion.
A 3 x 3-cm area of the loose areolar fascia overlying the temporal muscle and a 3 x 3-cm area of
temporal fascia were harvested.
Some otologists use a postauricular approach with
temporal fascia.
Autograft
temporal fascia tissue was used, and the graft was obtained by a supra-auricular incision.
We use
temporal fascia and split calvarial bone grafts harvested from the adjacent outer cortex.
