ABSTRACT

The relevance of the temporal scalp anatomy has also been highlighted by authors in evaluating the outcome of coronal flaps. The classical description of surgical techniques in the temporal region involves a plane of dissection between the superficial temporal fascia and the outer layer of the temporal fascia to minimise injury to the facial nerve. Gabrielli et al. reported a 11% incidence of the facial nerve weakness following coronal flaps. Kleinberger et al. evaluated a “deeper” plane of the dissection between the undivided temporal fascia and the temporalis muscle when raising a coronal flap and highlighted the lack of the facial nerve injury associated with this approach. There has and continues to be confusion in the terminology used to describe the various layers of the scalp in the temporal region. They are often and incorrectly used in an interchangeable manner.