Clinical implications of the middle temporal vein with regard to temporal fossa augmentation

Wonsug Jung, Kwan Hyun Youn, Sung Yoon Won, Jong Tae Park, Kyung Seok Hu, Hee Jin Kim

Research output: Contribution to journalArticlepeer-review

39 Citations (Scopus)


BACKGROUND: The middle temporal vein (MTV) traverses the temporal fossa between the superficial and deep layers of the deep temporal fascia. During filler injection into a deficient temporal fossa, filling agents may be inadvertently injected into the MTV, which results in vascular complications. OBJECTIVE To investigate the course of the MTV to enable safe filler injection in the temple area. MATERIALS AND MATERIALS: The course and diameter of the MTV were measured in 18 hemifaces from 9 Korean cadavers. RESULTS The MTV was located 23.5 and 18.5 mm above the zygomatic arch at the jugale and the zygion, respectively. The diameter of the MTV at its thickest point was 5.1 mm. A splitting and reuniting pattern, such that the MTV occupied more space than a single trunk, was observed in 28% of cases. CONCLUSION: We propose that the safest area for filler injection in temporal fossa augmentation is one finger width above the zygomatic arch.

Original languageEnglish
Pages (from-to)618-623
Number of pages6
JournalDermatologic Surgery
Issue number6
Publication statusPublished - 2014 Jun

All Science Journal Classification (ASJC) codes

  • Surgery
  • Dermatology


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