Use of the double-layered free temporal fascia flap for upper extremity coverage.

Two layers of fascia exist in the temporal region, the temporoparietal fascia and the deep temporal fascia. Both can be elevated on a single vascular pedicle based on the superficial temporal artery, the double-layered temporal fascia flap. In our study, six patients who underwent upper limb coverage using the double-layered temporal fascia flap are reviewed, and the versatility of this thin flap is discussed.