Superficial temporal artery composite perforator flap in repair of temporal skin and soft tissue defects and reconstruction of sideburns / 中国修复重建外科杂志

Objective: To investigate the feasibility and effectiveness of repairing temporal skin and soft tissue defects and reconstructing sideburns with superficial temporal artery composite perforator flap. Methods: Between January 2018 and January 2019, 12 patients with temporal tumors were treated. There were 5 males and 7 females with an average age of 51 years (range, 37-68 years). There were 8 cases of basal cell carcinoma and 4 cases of squamous cell carcinoma. The disease duration ranged from 3 months to 4 years (mean, 13 months). The area of residual wound after tumor resection was 3.8 cm×2.5 cm-5.2 cm×3.5 cm. The superficial temporal artery composite perforator flap was designed. The hairy superficial temporal artery frontal branch perforator flap was used to repair the hair growing area and reconstruct the sideburn; and the area of the flap was 2.5 cm×1.0 cm-4.2 cm×3.0 cm. And the superficial temporal artery descending branch perforator flap without hair was used to repair the hair-free area; and the area of the flap was 2.5 cm×1.5 cm-7.5 cm×4.0 cm. The donor sites were sutured directly. Results: All flaps survived, and the incisions at the donor and recipient sites healed by first intention. Eleven patients were followed up 6-12 months (mean, 9 months). The incisions were not obvious. The flaps were flat and the color of the flaps were not significantly different from the surrounding skin. The reconstructed sideburns were consistent with the healthy side and the facial appearance was satisfactory. No local tumor recurred during follow-up. Conclusion: For the temporal skin and soft tissue defects involving the sideburn, the superficial temporal artery composite perforator flap can be used to repair subunits with different aesthetic characteristics in sections and has the advantages of operating simply, obtaining satisfied facial appearance, and little effect on the donor site.

Left temporal low-grade myofibroblastic sarcoma of infant: A case report and literature review / 吉林大学学报(医学版)

Objective, To analyze the clinical features and treatment methods of one infant with low-grade malignant myof ibroblastic sarcoma (LGMS) in the left temporal region, and to provide the basis for its diagnosis. Methods, The clinical data of one infant with LGMS in the left temporal region were collected, and the clinical features, diagnosis and treatment of the patient with LGMS were analyzed combined with the relative literatures. Results, A 4-month-old infant was admitted because of left temporal mass for 20 d. The CT image showed a subcutaneous space-occupying lesion in the left temporal region, the CT value was 20-40 HU, and the size was about 2. 0 cm × 2. 0 cm × 2. 0 cm and the lesion invaded the skull. The enhanced MRI images showed an irregular lesion in the left temporal region, the lesion invaded the skull, the border with the surrounding brain tissue was still clear, the size was about 1. 9 cm × 1. 6 cm × 2. 0 cm, and the T1WI, T2WI and FLAIR results presented as isointensity in the lesion. The lesion showed inhomogeneous enhancement. The CT and MRI results showed that the subcutaneous tumor invaded the skull, suggesting that there may be malignant tumor. The patient underwent left temporal subcutaneous intracranial and extracranial mass operation to completely resect the lesion, and the pathological diagnosis was LGMS. The patient did not receive radiotherapy or chemotherapy after operation. There was no recurrence after follow-up for 16 months. Conclusion: LGMS is a kind of invasive tumor without specific imaging findings. Total resection is an effective treatment. The pathological diagnosis is the gold standard for the diagnosis of LGMS. The LGMS patients should be given regularly follow-up after operation.

Dorello´s canal or abducens nerve canal: constancy or inconstancy? / El canal de Dorello o canal para el nervio abducente: ¿constancia o inconstancia?

Dorello´s canal is an eponym term referring to a small fibro osseous landmark, by way of arc, located at the apex of the petrous temporal region and for which the nerve abducens passes before reaching the cavernous sinus. This landmark is not referenced in Terminologia Anatomica, even as a variable structure. We selected 74 adult dry skulls and six heads fixed in formalin 10 % without classifying them by ethnicity or gender. As inclusion criteria, we selected those where the middle cranial fossa and the apex of the petrous temporal region were in good condition. Fifty seven (57) skulls (83, 82 %) showed the presence of canal bilaterally; 4 (5.89 %) showed it unilaterally to the right; 4 (5,89 %) were unilaterally at the left and 3 (4,41 %) had no canal. The results of this study indicate that this bone landmark is present in most of the skulls, even bilaterally. Since it is not referenced in the Terminologia Anatomica, we propose the term canal abducens nerve to avoid using the eponymous term Dorello´s canal.

El "canal de Dorello" es un epónimo que hace referencia a un pequeño relieve osteofibroso, a manera de arco, ubicado a nivel del ápex de la región petrosa del temporal y por el cual pasa recostado el nervio abducente antes de llegar al seno cavernoso. Dicho relieve no se encuentra referenciado en Terminologia Anatomica, ni siquiera como estructura inconstante. Se seleccionaron 74 cráneos secos y completos de adultos y seis cabezas fijadas con formalina al 10 %, sin clasificarlos por grupos étnicos ni por sexo. Como criterio de inclusión, se escogieron aquellos que tuvieran en buen estado la fosa craneal media y el ápex de la región petrosa del temporal. 57 cráneos (83,82 %) mostraron presencia del canal en forma bilateral; 4 (5,89 %) lo mostraron unilateralmente a la derecha; 4 (5,89 %) lo tenían unilateralmente a la izquierda y 3 (4,41 %) no presentaban el canal. Los resultados de este estudio señalan que este relieve óseo se presenta en la mayoría de los cráneos, incluso en forma bilateral. Puesto que no aparece referenciado en Terminologia Anatomica, proponemos el término "canal para el nervio abducente", con el fin de evitar el uso del término epónimo "canal de Dorello".

Application of modified coronal approach in treatment of craniomaxillofacial fractures / 华西口腔医学杂志

<p><b>OBJECTIVE</b>This study aimed to investigate clinical efficacy of a modified coronal approach in treatment of craniomaxillofacial fractures.</p><p><b>METHODS</b>Thirty-seven cases of craniomaxillofacial fractures underwent open reduction and rigid internal fixation through modified coronal approach. Clinical follow-up visits were conducted to evaluate facial nerve functional status, temporal shape, appearance restoration, and reduction of fracture and surgical area scars.</p><p><b>RESULTS</b>During follow-up period of 6-36 months, appearance and function of all 37 patients recovered well without facial nerve injury and temporal depression deformity. All cases presented hidden scars, except for one case with hypertrophic scar.</p><p><b>CONCLUSIONS</b>Applying modified coronal approach to craniomaxillofacial surgery effectively reduces incidence of temporal depression and facial nerve injury compared with traditional approach. The modified coronal approach produced more subtle scars compared with traditional approach and should be applied to treatment of craniomaxillofacial fractures.</p>

Rare Location of Castleman's Disease in the Temporal Region: A Case Report Involving a Young Korean Woman and Review of the Literature

Castleman's disease (CD) is an uncommon benign lymphoproliferative disorder of unknown etiology. Histopathologically, it is divided into three types: hyaline-vascular, plasma cellular, and multicentric CD. The mass usually presents asymptomatically; however, it can cause non-specific symptoms such as fever and fatigue. Although CD can be found wherever lymph nodes are present, 75% of cases are reported in the mediastinum, and occurrence in the head and neck is rare. Herein, we report a rare case of CD presenting as a superficial mass in the temporal region. To the best of our knowledge, this is the first report of temporal CD in Korea involving a young patient.

Rare Location of Castleman's Disease in the Temporal Region: A Case Report Involving a Young Korean Woman and Review of the Literature

Castleman's disease (CD) is an uncommon benign lymphoproliferative disorder of unknown etiology. Histopathologically, it is divided into three types: hyaline-vascular, plasma cellular, and multicentric CD. The mass usually presents asymptomatically; however, it can cause non-specific symptoms such as fever and fatigue. Although CD can be found wherever lymph nodes are present, 75% of cases are reported in the mediastinum, and occurrence in the head and neck is rare. Herein, we report a rare case of CD presenting as a superficial mass in the temporal region. To the best of our knowledge, this is the first report of temporal CD in Korea involving a young patient.

Inter-trial effect in luminance processing revealed by magnetoencephalography / Efecto inter-ensayo en el procesamiento de iluminación revelado por magnetoencefalografía

In this study, we examined whether luminance processing in the human visual system would exhibit any history effect (i.e., inter-trial modulation) in psychophysical and magnetoencephalographic experiments. A disk was presented against a black background at various luminance levels in a randomized order. During the MEG recording, participants were instructed to rate the brightness of the disk (magnitude estimation) and to report it aloud during inter-stimulus interval. The MEG results showed that the neuromagnetic activation around 200-220 ms after the stimulus onset in the left occipito-temporal regions at a given trial was weaker when the disk luminance in the immediately prior trial was higher. An inverse inter-trial effect was also observed in the psychophysical experiment. These findings suggest that the neuromagnetic activity reflects the inter-trial modulation of luminance processing that correlates with the subjective perception of brightness.

En este estudio, se examinó si el procesamiento de iluminación en el sistema visual humano exhibie algún efecto de historia (es decir, modulación inter-ensayo) en experimentos psicofísicos y de magnetoencefalografía (MEG). Un disco se presentó contra un fondo negro en varios niveles de iluminación en un orden aleatorio. Durante el registro de MEG, los participantes fueron instruidos para clasificar el brillo del disco (estimación de magnitud) y reportarlo durante el intervalo inter-ensayo. Los resultados de MEG mostraron que la activación neuromagnetica alrededor 200-220 ms después de la aparición de estímulo en las regiones occipito-temporal izquierda en un ensayo dade fue más débil cuando la iluminación de disco en el ensayo inmediatamente antes fue mayor. También se observó un efecto inverso inter-ensayo en el experimento psicofísico. Estos hallazgos sugieren que la actividad neuromagnética refleja la modulación inter-ensayo de procesamiento de iluminación que se correlaciona con la percepción subjetiva de brillo.