Temporal (Gillies ) approach .... Skin incision : The Gillies technique describes a temporal incision (2 cm in length), made 2.5 cm superior and anterior to the helix, within the hairline. A temporal incision is made. Care is taken to avoid the superficial temporal artery. ...Deep dissection : The dissection continues through the subcutaneous tissue and superficial temporal fascia down to the deep portion of the deep temporal fascia. ...Exposure: An instrument is inserted deep to the temporalis fascia and superficial to the temporalis muscle. Using a back-and-forth motion the instrument is advanced until it is medial to the depressed zygomatic arch . A Rowe zygomatic elevator is inserted just deep to the depressed zygomatic arch and an outward force is applied. Great care should be taken not to fulcrum off the squamous portion of the temporal bone. ... Wound closure : Closure is performed according to the preference of the surgeon.
Posted on: Tue, 15 Oct 2013 06:58:02 +0000
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