Applied anatomy of the compound tissue flap consisting of temporal muscle and galea aponeurotica to repair late facial palsy

Objective: To evaluate the anatomic basis of temporal region for the repair of late facial paralysis in power by grouped human specimen. Methods: Latex and 10% formaldehyde solution were infused into the blood vessel of 15 fresh human temporal muscle specimens. The blood vessels and never distributed in the galea aponeurotica and musculature was noted. Results: Temporal region were divided into about three layers from the superficial to deep: superficial temporal fascia, deep temporal fascia and temporal muscle. The superficial temporal fascia extended upwards to form the galea aponeurotica. All of them had blood vessels and nerve independently, and formed a dense interlacing network. There were three independent bundles of blood vessels and never in temporal muscle. Conclusion: To correct deformity in eye, nose and mouth of late facial paralysis in power, we can accomplish this one stage operation with galea aponeurotica and the corresponding temporal muscle bunches.