The Temporoparietal Fascial Flap Is an Alternative to Free Flaps for Orbitomaxillary Reconstruction

Kim, John Y.S.; Buck, Donald W.; Johnson, Sarah A.; Butler, Charles E.

doi:10.1097/prs.0b013e3181e3b6f0

Cited by 19 publications

(21 citation statements)

References 31 publications

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“…Particular cases, such as the present, highlight the dilemma when selecting the appropriate method of reconstruction for a young patient with a sizeable facial defect that may result after radical surgery, which must be resolved to the greatest possible extent. The combination of craniofacial prosthetic techniques with temporoparietal flaps has been proven to be a successful technique (17,18). However, this method may not be suitable for all patients undergoing sinonasal cancer surgery, as sometimes a simple flap alone may be a better option (for example, in elderly patients or those who cannot adapt or do not have the ability to remove the prosthesis) (19).…”

Section: Discussionmentioning

confidence: 99%

Reconstructive challenges of sinonasal tumors: A case report

Palade

Hainăroşie²,

Perţea

et al. 2022

Exp Ther Med

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Sinonasal tumors are an uncommon pathological entity and applying the optimal treatment may represent a challenge, even for experienced physicians. A various number of techniques and materials may be used in the reconstruction of craniofacial defects following surgery for extensive sinonasal cancer. The aim of the present study was to present the case of a 33-year-old male patient diagnosed with a large sinonasal tumor and discuss the challenges faced while selecting the most suitable rehabilitation technique. In the present case, it was decided that the optimal solution was to use a craniofacial prosthesis in order to cover the entire defect, as well as a temporoparietal flap. In summary, reconstructive interventions must always be adapted to each individual patient and a multimodal approach may lead to a highly satisfactory outcome, for both the patient and the surgical team. All the reconstructive solutions available must always be kept in mind and adapted to the individual requirements of each case, taking into consideration both the extent of the tumor and the comorbidities of the patient, as there is no one solution that is considered as optimal for all patients.

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Section: Discussionmentioning

confidence: 99%

Reconstructive challenges of sinonasal tumors: A case report

Palade

Hainăroşie²,

Perţea

et al. 2022

Exp Ther Med

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“…Kim et al [24] recently published the largest series on TPF reconstruction for orbitomaxillary defects in 19 patients of whom 58% received neoadjuvant or adjuvant radiotherapy. Although the choice of a TPF was often an intraoperative decision based on a defect smaller than expected, these authors now recommend the TPF for the following situations: lining for prosthesis, coverage of exposed or irradiated bone and coverage of mesh or other orbital floor reconstruction.…”

Section: Orbitomaxillary Reconstructionmentioning

confidence: 98%

“…The TPF flap has been used successfully to recreate the internal lining of the empty sockets in preparation for an orbital prosthesis, providing vascularity to cover irradiated bone and to allow maximal skin graft take [23,24]. It also creates a protective barrier to the cranial vault, thus preventing skull base and intracranial infectious complications [25].…”

Section: Orbitomaxillary Reconstructionmentioning

confidence: 99%

The temporoparietal fascia flap

Jaquet

Higgins

Enepekides

2011

Current Opinion in Otolaryngology & Head and Neck Surgery

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“…Free bone flaps allow both restoration of the maxillary arch for dental rehabilitation as well as orbit reconstruction by providing a solid and stable bone support for the orbital content 12,15,16 . The use of autologous bone grafts including rib, calvaria, or iliac crest grafts covered by free or pedicled soft tissue flaps have also been described 7,12,17–21 . These techniques are often considered at risk of exposure, infection, and bone resorption, especially after radiotherapy.…”

Section: Introductionmentioning

confidence: 99%

Reconstruction techniques of the orbit after Brown class III maxillectomy: A systematic review

et al. 2023

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This systematic review aimed to evaluate the surgical techniques used for orbital floor reconstruction after Brown class III maxillectomy for cancer. Three databases were searched from January 1990 to January 2022. Of the 614 studies identified, 20 were retained after eligibility assessment. The surgical techniques were classified into four groups: free bone flaps (A), alloplastic implants (B), bone grafts (C), and soft-tissue reconstructions (D). Ectropion and diplopia concerned 42.6% and 6.6% of the patients, respectively. Soft tissue reconstruction was more likely to cause ectropion (17/27), followed by the reconstruction techniques of group B (34/79), group C (26/70), and group A (1/7). Postoperative enophthalmos was identified in 18 patients (9.6%), mostly in group D (5/35), followed by groups B (8/68), A (3/33), and C (2/52). Free bone flaps and alloplastic implants represent good reconstructive options in terms of postoperative ocular parameters.

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The Temporoparietal Fascial Flap Is an Alternative to Free Flaps for Orbitomaxillary Reconstruction

Abstract: The temporoparietal fascial flap is a viable alternative to free flaps for orbitomaxillary defects when orbital resection is limited, when obturator reconstruction is desired, or when comorbidities preclude microvascular surgery.

Cited by 19 publications

References 31 publications

Reconstructive challenges of sinonasal tumors: A case report

Reconstructive challenges of sinonasal tumors: A case report

The temporoparietal fascia flap

Reconstruction techniques of the orbit after Brown class III maxillectomy: A systematic review

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