Pedicled temporoparietal fascial flap for combined revascularization in adult moyamoya disease.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 30497163.
- Also identified by DOI 10.3171/2018.5.JNS18938.
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Abstract
Moyamoya disease (MMD) is a progressive, idiopathic cerebrovascular occlusive disease. Various revascularization techniques including direct, indirect, and combined microvascular bypasses have been described. This article presents a modified revascularization technique for MMD utilizing a pedicled temporoparietal fascial flap (TPFF) for combined revascularization. This technique combines a large area of coverage for indirect revascularization with the benefits of a direct bypass. The pedicled TPFF also benefits from intact venous drainage to minimize the risk of flap swelling that could result in complications from mass effect.