Open AccessTemporalis Myofascial Flap for Maxillofacial and Oral Defect
Author(s) -
Tananuvat Rak,
Ruenmarkkaew Donyarat,
Sittitrai Pichit,
Srivanitchapoom Chronticha
Publication year - 2011
Publication title -
otolaryngology–head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.232
H-Index - 121
eISSN - 1097-6817
pISSN - 0194-5998
DOI - 10.1177/0194599811415823a158
Subject(s) - medicine , osteoradionecrosis , surgery , maxilla , maxillary sinus , nasal cavity , meatus , free flap , temporalis muscle , complication , mandible (arthropod mouthpart) , radiation therapy , dentistry , botany , biology , genus
Objective Temporalis myofascial flap is a good option for the reconstruction of maxillofacial, oral cavity, and parotid defect. Method A total of 28 patients with postoperative defects located in the lower two thirds of the face and oral cavity in Chiang Mai University Hospital were included in this study. Results Sixteen patients had nasal cavity and maxillary sinus cancer, 6 patients had oral cavity and oropharyngeal cancer, 3 patients had parotid cancer, 1 patient had cementifying fibroma, 1 patient had facial palsy, and 1 patient had osteoradionecrosis of the mandible. Temporalis muscle flap provided profuse well‐vascularized tissue for the obliteration of orbital exenteration and totalor partial maxillectomy cavities and coverage of the surface of sinonasal and oropharyngeal defects. Conclusion Oral and nasal spaces were separated successfully in all patients. Temporalis muscle flap is a very reliable technique with low complication rates and few donor site problems. This safe and technically simple flap can be preferred for the reconstruction of maxilla‐facial defects after ablative tumor surgery, especially in older and debilitated patients.