Temporalis Muscle Flap for Craniofacial Reconstruction After Tumor Resection

Yücel, Ayhan; Yazar, Sevgi Kurt; Aydın, Yağmur; Seradjimir, Mesut; Altıntaş, Muzaffer

doi:10.1097/00001665-200011030-00011

Cited by 28 publications

(18 citation statements)

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“…A similar evaluation of using temporal flap for restoration of hard palate following maxillary resection is presented by other authors [1–5, 7, 12, 14]. …”

Section: Discussionmentioning

confidence: 60%

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Temporal muscle flap in reconstruction of maxillo-facial tissues

Krzymanski¹,

Dąbrowski²,

Przybysz³

et al. 2012

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Aim of the studyPresents our experience in reconstruction of postsurgical defects with use of temporal muscle flap.Material and methodsIn the years 1996–2010 we treated 10 patients with malignant neoplasms of maxillo-facial region. Following tumor removal the fascia-muscle flaps of temporal muscle were used for reconstruction. Temporal muscle flaps were applied in 5 cases for reconstructing the defect of eye socket tissue after extensive resections and in the other 5 patients was used for reconstructing the defect of palate following maxillary resections.ResultsAll the flaps of temporal muscle that were used for reconstructing eye sockets incorporated with no local reaction. In one case of flap applied into the oral cavity for tightly separate from nasal, partial necrosis of flap's edge and oro-nasal fistula occurred.ConclusionsFascia-muscular flap of temporal muscle is a simple, easy and effective method of tissue reconstruction in maxillo-facial region following extensive oncologic procedures.

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“…A similar evaluation of using temporal flap for restoration of hard palate following maxillary resection is presented by other authors [1–5, 7, 12, 14]. …”

Section: Discussionmentioning

confidence: 60%

“…In further years the flaps from temporal muscle became widely used in tissue reconstruction following extensive oncologic procedures around base of the skull, orbital, maxillary resection, zygomaxillary complex as well as for reconstructing defects of soft tissue in oral cavity and throat [1–12]. …”

mentioning

confidence: 99%

Temporal muscle flap in reconstruction of maxillo-facial tissues

Krzymanski¹,

Dąbrowski²,

Przybysz³

et al. 2012

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“…It has been used for reconstruction of isolated upper eyelid defects (2-4) such as for the anterior lamella in combination with a mucochondrial autologous graft taken from the alae (2) or in combination with skin grafting (4). It provides well-vascularized tissue for coverage of surface defects and orbital reconstruction after extended maxilelctomy (5,10) for total defects following orbital exenteration (6,9,10,12) without resection of the lateral orbital rim (7) or in combination with a glabellar flap (11).…”

Section: Discussionmentioning

confidence: 99%

The Temporalis Muscle Flap: A Useful Adjunct in Reconstruction of Combined Defects of the Upper and Lower Eyelids

Haykal

Antonyshyn

Gill

2015

Plastic Surgery Case Studies

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R econstruction of complex eyelid defects presents a challenge. Composite defects that involve both the upper and the lower eyelid, or that extend deeply to involve the lateral canthus and the bony orbit, are particularly difficult to repair. Under these circumstances, the temporalis muscle flap provides vascularized tissue, which can be used in restoring structural support to the lid complex.The temporalis region provides several regional flaps. The temporalis muscle is a type III (Mathes and Nahai classification) fan-shaped muscle with its origin in the temporal fossa. It receives its blood supply from the anterior and posterior deep temporal arteries, which are branches of the internal maxillary artery. These course between the muscle and the periosteum, allowing for subperiosteal elevation. Resection of the zygomatic arch and the coronoid process of the mandible (1) can increase its reach. The presence of two independent vascular territories enables separate use of the temporalis fascia or muscle in the elevation of regional flaps, making it very versatile in head and neck reconstruction (1). It has been described for isolated upper eyelid defects (2-4) and orbital reconstruction (5-12). BACKGrounD: Eyelid reconstruction following oncological resection remains a challenge. Multiple techniques have been described for isolated upper or lower eyelid defects. oBJECTIvE: To describe the use of the temporalis flap for reconstruction of an eyelid defect involving both the upper and lower eyelids. METHoDs: Excision of a basal cell carcinoma was performed. This resulted in full-thickness defects of the upper and lower eyelids, the lateral canthus including upper and lower canthal tendons, the upper right midface, temple, lateral two-thirds of the eyebrow and forehead. The tumour was found to be adherent to bone and dissecting deeply into the lateral orbital cavity as well as along the orbital roof. rEsuLTs: The lateral orbital rim was reconstructed using the pre-bent titanium mesh implant. A temporalis muscle flap allowed for draping over the reconstructed orbital rim and to provide reconstruction of the tarsal plates of the upper and lower eyelids. The remaining large cutaneous defect, which involved more than half of the lower eyelid, was reconstructed using a large Mustarde cervical facial rotation flap. ConCLusIons: The temporalis muscle flap provides abundant well vascularized tissue and has been described for head and neck reconstruction. A novel technique allows reconstruction of both the upper and lower eyelids using the temporalis muscle in combination with local flaps.

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“…Also, this type of reconstruction is not suitable for very large defects in which a sturdy seal is needed between the orbit and the sinuses or brain. 7 Other viable options are the use of regional flaps, [8][9][10] which provide more possibilities for filling up the cavity and recreating the barriers between the orbit and the surrounding structures. The temporalis muscle flap has been widely described as a flap that can give more volume to the orbit, obturate small bony defects, and provide covering for dural tears.…”

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confidence: 99%