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Trans‐antral temporalis transfer for the repair of adult cleft palates
Author(s) -
Arvier John F.,
Molla Motiur R.,
Fitzpatrick Barry,
Shaheed S. M. Iqbal,
Lanza Kerry
Publication year - 1997
Publication title -
australian dental journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.701
H-Index - 71
eISSN - 1834-7819
pISSN - 0045-0421
DOI - 10.1111/j.1834-7819.1997.tb00135.x
Subject(s) - medicine , masticatory force , oral cavity , dentistry , sinus (botany) , soft tissue , orthodontics , surgery , botany , biology , genus
Temporalis muscle transfer is a versatile technique frequetly used for reconstructive procedures in the maxillofacial region. However the thickness of the pedicle may interfere with masticatory function when used anteriorly in the oral cavity. To repair full‐length mid‐palatal defects in fully dentate patients the flap can be passed through the maxillary sinus and combined with local repair of the soft palate, thus avoiding any occlusal trauma from the posterior teeth. The operation is a single stage procedure with low morbidity and few complications, and is a useful technique for repairing the large untreated clefts frequently encountered in developing countries. The procedure is used by members of the Australian and New Zealand Association of Oral and Maxillofacial Surgeons Bangladesh Project who have operated in Dhaka teaching hospitals on a regular basis since 1991.