Temporalis muscle flap

Ein, Liliana; Daniyan, Opeoluwa; Nicolli, Elizabeth A.

doi:10.1016/j.otot.2019.04.006

Cited by 6 publications

(3 citation statements)

References 17 publications

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“…By reviewing the available literatures, the TMF could be considered as an optimal option compared with abdominal dermis-fat graft, auricle cartilage, etc [ 21 , 22 ]. TMF is a sort of versatile tool in reconstructing disk, which is possible to use the temporal fascia flap pedicled to the middle temporal vessels, or muscular temporalis flap pedicled to the deep temporal vessels [ 17 , 23 ]. With regard to TMJ disk replacement, the TMF can meet the physiological function of a disk supplying as autologous tissue.…”

Section: Discussionmentioning

confidence: 99%

Modified minimally invasive surgery in reconstructing the temporomandibular joint disk by transplantation of the temporalis myofascial flap

Peng

Gong

et al. 2023

BMC Musculoskelet Disord

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Objective The transplantation of temporalis myofascial flap (TMF) is an indispensable method to treat severe temporomandibular joint disorders with disk failure. How to select the indication and the ways of transplantation is still a challenging topic for achieving the ideal effect. We reported the new methods and follow-up results of the patients treated with pedicled TMF transplantation. Methods Retrospective case series was performed at Temporomandibular Joint Specialist Clinic, the First Affiliated Hospital of Xinjiang Medical University, from December 2014 to August 2022. 39 patients (50 sides) included anterior disk displacement without reduction and disk perforation who underwent discectomy and immediate reconstruction with pedicled TMF. The initial and postoperative maximum mouth opening (MMO), and pain visual analogue scale (VAS) were compared via paired t-test and Wilcoxon signed-rank sum test, respectively. Results The average of follow-up time was 30.07 months. The reconstructed temporomandibular joints basically achieved stable occlusion, good function, and satisfactory effect. The patients displayed a remarkable reduction of VAS score of pain, and improvement of the MMO compared with that before operation (P < 0.001). MR scanning revealed the grafts in joint space showed band-shaped soft tissue density of medium signal and had the clear edges, without interruption and fragment. Conclusion Reconstruction of the temporomandibular joint disk by transplantation of the TMF applying modified minimally invasive surgery was a feasible method, which could improve the function of joints and prevent adhesion, without obvious complications in donor region.

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Section: Discussionmentioning

confidence: 99%

Modified minimally invasive surgery in reconstructing the temporomandibular joint disk by transplantation of the temporalis myofascial flap

Peng

Gong

et al. 2023

BMC Musculoskelet Disord

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show abstract

“…The renewed interest for temporal muscle flap in the reconstruction of maxillary defects is due to the advantages of this reconstructive method: a simple and rapid technique, performed by a single surgeon, with high reliability of vascular supply and a hidden donor site scar in the hair-bearing skin, which provides very well matching, thin and pliable tissue for the immediate closure of oro-antral fistulas resulting after maxillary resection, with an excellent functional outcome in terms of speech and swallowing ( 27 ). The main complaint of the patients after using this technique is the impaired appearance caused by the temple hollowing after temporal muscle displacement into the oral cavity ( 28 ). For our patient, a modification of the procedure was used, with preservation of the superficial layer of the temporal fascia, thus allowing for a reconstruction of the donor site with minimal hollowing, otherwise not reported by the patient.…”

Section: Discussionmentioning

confidence: 99%

“…The initial result was stable at the last follow-up visit, 4 months after surgery and radiotherapy completion. Permanent facial nerve palsy after flap harvesting is another complication when raising temporal muscle flap, however, it is uncommon in experienced hands ( 28 ).…”

Section: Discussionmentioning

confidence: 99%

A combination of two regional flaps for the complex reconstruction after head and neck cancer surgery as an alternative approach during the COVID‑19 pandemic: A case report

Căruntu¹,

Moraru²,

Comăneanu

et al. 2022

Exp Ther Med

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Since the COVID-19 pandemic outbreak, the medical systems were challenged by continuously increasing numbers of infections and faced critical issues when trying to find solutions for patients suffering from other diseases, including patients with head and neck cancers. Complex surgeries were delayed due to an acute deficit of specialized intensive care medical staff and equipment, which were redirected towards COVID-19 hospitalized cases, with irreversible consequences for the patients. In the present study, the case of locally advanced head and neck cancer was presented, which was treated radically during the heaviest wave of the COVID-19 pandemic in Romania using an alternative approach for immediate defect reconstruction. The case of locally advanced buccal carcinoma (staged T4aN0Mx) was reported, where radical tumor excision was followed by immediate reconstruction using a combination of two regional flaps, temporal and submental, in order to provide timely and optimal medical care. In the difficult context of the COVID-19 pandemic, the standard reconstructive technique, which is the free vascularized tissue transfer, could not be performed for this patient, due to the acute deficit of anesthetists and associated medical staff, as well as the lack of free beds in intensive care units. Combinations of local and regional flaps, such as temporal muscle flap and submental flap, are simple and accessible surgical techniques that require reduced surgical time, minimal equipment, and basic surgical training, advantages that become crucial in historically challenging times, such as a global pandemic. Individual cases, like elderly patients or patients with severe comorbidities, should be considered for these types of reconstructive techniques: simple solutions, single or in combination, which may be an improved therapeutic option for these patients.

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The utility and outcomes of the temporalis muscle flap for palate reconstruction after maxillectomy for malignancy

Abdelrahman,

Zidan,

Sapri

et al. 2025

Asian Journal of Surgery

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Temporalis muscle flap

Cited by 6 publications

References 17 publications

Modified minimally invasive surgery in reconstructing the temporomandibular joint disk by transplantation of the temporalis myofascial flap

Modified minimally invasive surgery in reconstructing the temporomandibular joint disk by transplantation of the temporalis myofascial flap

A combination of two regional flaps for the complex reconstruction after head and neck cancer surgery as an alternative approach during the COVID‑19 pandemic: A case report

The utility and outcomes of the temporalis muscle flap for palate reconstruction after maxillectomy for malignancy

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