Chimeric temporopareital osteofascial and temporalis muscle flap; a novel method for the reconstruction of composite orbito-maxillary defects

Jose, Anson; Nagori, Shakil Ahmed; Arya, Supreeta; Roy, Indranil

doi:10.1016/j.jormas.2019.02.002

Cited by 5 publications

(5 citation statements)

References 8 publications

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“…Thanks to the maturation of reconstruction technology, postoperative immediate repair and reconstruction have become more dominant. [8][9][10] In repair methods, we compared the cumulative survival rates between the non-repaired group and the repair group; the free flap group and the pedicled flap group; and the temporal muscle flap repair group and the anterolateral thigh flap repair group. No statistically significant differences were found, confirming that immediate repair and reconstruction will not affect the review and prognosis of malignant tumors of the maxillary sinus.…”

Section: Comparison In Repair Methods and The Survival Ratementioning

confidence: 99%

“…6 Patients who received adjuvant radiotherapy, adjuvant chemotherapy, or neoadjuvant therapy had improved overall survival compared with surgery alone. 7 There were also many ways to reconstruct the maxillary, which include pedicled flaps such as temporal muscle flap, 8 free flaps including lateral femoral circumflex flap, 9 fibular flap, 10 composite flaps. 11,12 As the diverse pathological types and different range of lesions of the tumor, 2 as well as the difference regarding the patients’ physical conditions, economic status, requirements for quality of life.…”

Section: Introductionmentioning

confidence: 99%

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Prognostic Analysis of Individualized Treatments of Malignant Tumors Primary From Maxillary Sinus

et al. 2022

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Objectives To investigate the prognosis and quality of life for primary malignant maxillary sinus tumors. Methods This was a retrospective analysis. 164 patients diagnosed with primary malignant maxillary sinus tumors between 2005 and 2018 were recruited. Patients were treated according to the pathological type and the lesion range. Prognostic differences of different pathological types, surgical resection methods, repair methods, treatment methods, and different local recurrence sites were analyzed. Survival analysis and prognostic factors analysis were performed. Results Overall survival (OS) rate was 74.7% at 3 years, 60.5% at 5 years, and 45.8% at 10 years. Disease-free survival (DFS) rate was 67.2% at 3 years, 45.6% at 5 years, and 30.8% at 10 years. There was significant difference in OS rate among different pathological types (χ2 = 14.18, P < 0.05). The order of 5-year OS rate was as follows: malignant transformation of inverted Papilloma (77.7%) > adenoid cystic carcinoma (74.1%) > squamous cell carcinoma (48.4%) > sarcoma (22.1%). The order of disease-free survival was as follows: total maxillary resection > subtotal maxillary resection > endoscopic nasal tumor resection ≥enlarged maxillary resection, the 5-year DFS rate were 68.6%, 53.5%, 46.2%, and 42.9%, respectively. The OS of postoperative radiotherapy was significantly better than that of preoperative radiotherapy (χ2 = 7.16, P < 0.05). There was significant difference in OS between recurrent and non-recurrent patients (χ2 = 68.57, P < 0.05). Conclusions The pathological type and the timing of radiotherapy are independent prognostic factors for primary malignant tumor of maxillary sinus. In addition, different local surgical resection methods are independent factors affecting the recurrence rate.

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Section: Comparison In Repair Methods and The Survival Ratementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prognostic Analysis of Individualized Treatments of Malignant Tumors Primary From Maxillary Sinus

et al. 2022

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“…A "zigzag" incision is made. 15 The skin flap is elevated in the subfollicular plane. The STF is dissected from the DTF along with a split calvarial bone graft from the parietal bone.…”

Section: Chimeric Temporalis Osteomyofascial Flapmentioning

confidence: 99%

“…[2][3][4][5][6][7][8][9][10][11][12] Muscle combination with different regional tissues, that is, deep and superficial muscle fascia (deep temporal fascia [DTF], superficial temporal fascia [STF]), pericranium, galea capitis (GC), and bone graft (chimeric flaps), has enriched flap versatility and robustness and has enabled multilayered reconstruction. [13][14][15] Flap extension toward not always wellvascularized territories might impair flap supply. It has to be kept in mind that some of the tissues (mostly GC and bone grafts) might not always be adequately vascularized, possibly representing watershed vascular territories (between superficial temporal artery [STA] and deep temporal artery [DTA]), thus potentially jeopardizing flap viability and reliability.…”

Section: Introductionmentioning

confidence: 99%

Temporal Flaps in Head and Neck Reconstructive Surgery: A Systematic Review of Surgical Techniques

Gagliardi

Snider

Pompeo

et al. 2021

J Neurol Surg A Cent Eur Neurosurg

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The temporal region is a great source of vascularized flap, providing extremely variable and versatile options for reconstruction in head and neck surgery. Its popularity has led to the conception of a large variety of different flaps, in terms of contents and design. Temporal flaps are highly pliable and flexible, providing adequate bulk to obliterate dead spaces and improving engraftment, thus facilitating wound healing. The need to access different anatomical compartments, often far from the original flap anatomical site, has led surgeons to develop techniques to enlarge pedicles and bulk, by reverting and splitting flaps' contents, as well as through partial mandibular and zygomatic resection. To further increase versatility, a multilayered combination of different regional tissues and muscle segmentation techniques has been described. Historically, each flap has had its own proponents and opponents, but a pointy review systematizing techniques and comparatively analyzing different flaps was still missing in the literature. The field of use of some flaps has been progressively limited by the increasing relevance of free tissue transfers, which nowadays may provide success rates up to 95% with a constrained morbidity, thus offering an effective alternative, when available. Given the wide range of reconstructive strategies based on temporal flaps, there is still a great debate on nomenclature and surgical techniques. The present study systematizes the topic, classifying regional flaps according to contents and indications. Harvesting techniques are described stepwise and schematically illustrated, thus offering an indispensable tool to the armamentarium of reconstructive surgeons.

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“…The osteofascial variant of this flap is used for composite orbitomaxillary reconstructions, as they require restoration of skeletal support and a fine tissue lining. 2 When the loss of substance approaches the midline and reaches the nasal region, flaps from other donor areas are usually used, mainly from the forehead, whose skin characteristics are very similar to those of the nose. However, sometimes the forehead does not have all its vascular pedicles, due to previous scars, while local flaps have limitations to reconstruct very large defects.…”

mentioning

confidence: 99%

Prelaminated Temporoparietal Osteofascial Flap: A Novel Nasal Reconstruction Technique

Aldana

Ramirez

Sandoval

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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Summary: Nasal reconstruction can be a difficult task to perform. It is a challenge when the defect to be reconstructed is extensive and involves the entire thickness of the nose. The difficulty is further increased when a recurrent tumor is removed, where other flaps were previously used to reconstruct the initial defect. A therapeutic option is microsurgical reconstruction; however, sometimes this cannot be performed. Furthermore, free flaps such as the anterolateral thigh or the antebrachialis radial tend to be very thick for the integuments of the face. Therefore, it is important to think of another reconstructive option to solve this problem. We present a case of nasal reconstruction with a prelaminated temporoparietal osteofascial flap, after full-thickness excision for recurrent carcinoma.

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Chimeric temporopareital osteofascial and temporalis muscle flap; a novel method for the reconstruction of composite orbito-maxillary defects

Cited by 5 publications

References 8 publications

Prognostic Analysis of Individualized Treatments of Malignant Tumors Primary From Maxillary Sinus

Prognostic Analysis of Individualized Treatments of Malignant Tumors Primary From Maxillary Sinus

Temporal Flaps in Head and Neck Reconstructive Surgery: A Systematic Review of Surgical Techniques

Prelaminated Temporoparietal Osteofascial Flap: A Novel Nasal Reconstruction Technique

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