PRS AAPS Oral Proofs 2016
Henry M. Spinelli, MD, FACS, Jerry W. Chao, MD
From the Weill Medical College of Cornell University, New York, N.Y.
PURPOSE: The temporal fossa is defined by bone and soft tissue. The hollowing deformity can arise from defects in bone and/or denervation, devascularization, and wasting of the overlying muscle and fat pad. We present an algorithm to analyze and treat this common entity.
METHODS: A retrospective review was performed of all patients treated for temporal hollowing over the past 10 years. Data concerning aesthetic outcomes and complications were collected. A directed treatment algorithm replacing the affected structures using fillers, fat grafts, bone, soft tissue, and alloplastic grafting was created.
RESULTS: On the basis of our experience in treating more than 150 surgical patients with temporal hollowing during a 10-year period, we have designed a paradigm based on the underlying etiology of the presentation. In a large and comprehensive series, there were no major complications, and we had good to excellent correction of the deformity based on independent review of the results and magnetic resonance imaging studies.
CONCLUSIONS: We present an innovative algorithm that predictably corrects the temporal hollowing defect. The analysis and corrective methodology are easily learned and effectively applied by the average surgeon. Furthermore, our algorithm can be predictive and utilized in the primary treatment plan of craniofacial, skull base, and wasting disorders cases obviating secondary correction. Analysis and treatment of the temporal hollowing deformity using our paradigm belong in the armamentarium of all surgeons who see these deformities.