The inverted temporalis muscle flap for intraoral reconstruction: its rationale and the results of its application

Wong, Tung Yiu; Chung, Chih-Yao; Huang, Jow-Lay; Chen, Hung An

doi:10.1016/j.joms.2003.08.034

Cited by 31 publications

(27 citation statements)

References 10 publications

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“…A hemicoronal incision with extension inferiorly into the preauricular region as far as the level of the tragus was preferred for accessing the temporalis muscle (Wong et al, 2004;Byrne et al, 2007). The initial incision is made directly to the level of the temporal fascia and it should be well hidden in the hairy temporoparietal area and in the preauricular creases (Shagets et al, 1986;Byrne et al, 2007).…”

Section: Surgical Techniquementioning

confidence: 99%

“…Temporalis muscle flap (TMF) is a reliable and versatile technique, widely used for reconstruction of intraoral tissue defects, following oral cancer surgical treatment (Phillips and Peckit, 1988;Peterson et al, 1992;Matthew et al, 2001;Browne and Holland, 2002;Aggelopoulos and Alexandridis, 2004;Wong et al, 2004;Yamamoto et al, 2004;Tan et al, 2007). It is a pedicle flap, well-vascularized by duplex blood supply from the anterior and posterior deep temporal arteries (Wong et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

“…It is a pedicle flap, well-vascularized by duplex blood supply from the anterior and posterior deep temporal arteries (Wong et al, 2004). It is a quite a thin flap, providing a suitable bed for a postoperatively prosthesis, while its performance does not affect significantly deglutition and articulation.…”

Section: Introductionmentioning

confidence: 99%

“…It is a quite a thin flap, providing a suitable bed for a postoperatively prosthesis, while its performance does not affect significantly deglutition and articulation. Proximity to the reconstructing area, adequate tissue for reconstructive purpose, good arch of rotation, ability to be transferred in multiple directions, complete reepithelialization at the recipient site within weeks and an almost free of dysfunction donor site are also among the advantages of this flap (Peterson et al, 1992;Browne and Holland, 2002;Wong et al, 2004;Tan et al, 2007). TMF is also absolutely compatible with early postoperative radiotherapy.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Functional and aesthetic reconstruction of extensive oral ablative defects using temporalis muscle flap: A case report and a sort review

Michaelidis

Hatzistefanou

2011

Journal of Cranio-Maxillofacial Surgery

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Section: Surgical Techniquementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Functional and aesthetic reconstruction of extensive oral ablative defects using temporalis muscle flap: A case report and a sort review

Michaelidis

Hatzistefanou

2011

Journal of Cranio-Maxillofacial Surgery

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“…However, the need for an external skin incision with visible scars, and the difference between the tissue used for reconstruction and the resected mucosa, with impact on functional and esthetic outcomes, make these flaps a secondary option in selected patients. The temporalis muscle flap is another widely used regional flap option [16,17]. Problems associated with its use include possible limitation of mouth opening, cheek fullness as well as esthetic donorsite consequences.…”

Section: Discussionmentioning

confidence: 99%

The palatal island mucoperiosteal flap for primary intraoral reconstruction following tumor ablative surgery

Magdy

2011

Eur Arch Otorhinolaryngol

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Reconstruction of intraoral mucosal defects following tumor ablative surgery can be a challenging problem. The objective of this study was to evaluate the use of the palatal island mucoperiosteal flap (PIMPF) in reconstructing intraoral defects resulting from ablative tumor resections. The study included eight consecutive patients who underwent primary reconstruction using the PIMPF following intraoral tumor resections in a 5-year period by a single surgeon at a tertiary referral institute. Patients included five men and three women ranging in age from 32 to 69 years. Four patients were smokers (averaging 40 pack-years). None had received prior irradiation therapy. Resultant surgical defects ranged in size from 6 to 16.5 cm(2) (mean 12.3 ± 3.9) and included areas of soft/hard palate, lateral pharyngeal wall, retromolar trigone and inner cheek. Final pathological findings revealed three benign and five malignant tumors, mostly from minor salivary gland origin. All patients began oral diet between postoperative days 1 and 4 (mean 2 days). All flaps survived well with good postoperative wound healing except one minor flap dehiscence that eventually healed by granulation tissue with no further surgery needed. All donor sites were completely healed by remucosalization within 5-13 weeks. No patients manifested permanent velopharyngeal insufficiency, speech impairment, or airway compromise after a follow-up period ranging from 13 to 56 months (mean 31.3 ± 15.9). The PIMPF was found to be an attractive single-staged versatile and reliable reconstructive option for postero-lateral oral cavity/oropharyngeal defects that provides well-vascularized, sensate mucosa with minimal morbidity.

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Injectable Biomaterials for Regenerating Complex Craniofacial Tissues

et al. 2009

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Engineering complex tissues requires a precisely formulated combination of cells, spatiotemporally released bioactive factors, and a specialized scaffold support system. Injectable materials, particularly those delivered in aqueous solution, are considered ideal delivery vehicles for cells and bioactive factors and can also be delivered through minimally invasive methods and fill complex 3D shapes. In this review, we examine injectable materials that form scaffolds or networks capable of both replacing tissue function early after delivery and supporting tissue regeneration over a time period of weeks to months. The use of these materials for tissue engineering within the craniofacial complex is challenging but ideal as many highly specialized and functional tissues reside within a small volume in the craniofacial structures and the need for minimally invasive interventions is desirable due to aesthetic considerations. Current biomaterials and strategies used to treat craniofacial defects are examined, followed by a review of craniofacial tissue engineering, and finally an examination of current technologies used for injectable scaffold development and drug and cell delivery using these materials.

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The inverted temporalis muscle flap for intraoral reconstruction: its rationale and the results of its application

Cited by 31 publications

References 10 publications

Functional and aesthetic reconstruction of extensive oral ablative defects using temporalis muscle flap: A case report and a sort review

Functional and aesthetic reconstruction of extensive oral ablative defects using temporalis muscle flap: A case report and a sort review

The palatal island mucoperiosteal flap for primary intraoral reconstruction following tumor ablative surgery

Injectable Biomaterials for Regenerating Complex Craniofacial Tissues

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