The use of the temporalis muscle flap in facial and craniofacial reconstructive surgery. A review of 182 cases

Clauser, Luigi; Curioni, C; Spanio, Stefano

doi:10.1016/s1010-5182(05)80209-4

Cited by 131 publications

(100 citation statements)

References 28 publications

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“…In 1999, Chossegross et al [7] evaluated 31 patients who had undergone interposition of a full-thickness skin graft at least 1 year after surgery and obtained a 90% success rate. Clauser et al [8] carried out reconstruction with the temporalis myofascial flap in 182 cases specifically for reconstructive cranio-maxillofacial surgery: trauma, deformities, tumors, TMJ ankylosis, facial paralysis. No major complications were observed.…”

Section: Discussionmentioning

confidence: 99%

A Retrospective Study of Temporalis Muscle and Fascia Flap in Treatment of TMJ Ankylosis

Guruprasad

Chauhan

Cariappa

2010

J. Maxillofac. Oral Surg.

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Background This study sought to determine the efficacy of interpositional arthroplasty with temporalis muscle and fascia flap in the treatment of unilateral temporomandibular joint (TMJ) ankylosis in adults. Methods This retrospective study of nine cases evaluated the postoperative results of interpositional arthroplasty on temporalis muscle and fascia flap in adults. The operative protocol for unilateral TMJ ankylosis entailed (1) resection of ankylotic mass, (2) intraoral ipsilateral coronoidectomy, (3) contralateral coronoidectomy when necessary, (4) interpositional tissue transfer to the TMJ with temporalis muscle, fascia flap, and (5) early mobilization, aggressive physiotherapy. Results The study evaluated nine patients with follow-up checks from 13 to 31 months (mean 18.3 months). Patients had a preoperative maximal interincisal opening of 9-19 mm (mean 11.7 mm). During the last follow-up observation after surgery, the patients had a maximal interincisal opening of 35-40 mm (mean 38.3 mm).The results of this protocol were encouraging, the functional results of interpositional arthroplasty on temporalis muscle and fascia flap were also satisfactory. Conclusion The findings of this study support the use of temporalis muscle and fascia flap in adult patients with unilateral TMJ ankylosis. Early postoperative initial exercise, physiotherapy and strict follow-up play an important role in preventing postoperative recurrences.

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Section: Discussionmentioning

confidence: 99%

A Retrospective Study of Temporalis Muscle and Fascia Flap in Treatment of TMJ Ankylosis

Guruprasad

Chauhan

Cariappa

2010

J. Maxillofac. Oral Surg.

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“…1,2,5,8 It is a vascularized flap based on the anterior and posterior deep temporal arteries. 1,2,5,8 As demonstrated in our anatomical dissection and clinical cases, the pericranium in this area is firmly attached to the deep temporalis muscle fascia and can be elevated together with the fascia. The pedicled fascia-pericranium sheet gives rise to a long, versatile flap that is usually sufficient for extensive cranial base reconstruction.…”

Section: 21233335mentioning

confidence: 99%

Surgical anatomy and utility of pedicled vascularized tissue flaps for multilayered repair of skull base defects

Safavi–Abbasi

Komune

Archer

et al. 2016

JNS

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OBJECT The objective of this study was to describe the surgical anatomy and technical nuances of various vascularized tissue flaps. METHODS The surgical anatomy of various tissue flaps and their vascular pedicles was studied in 5 colored silicone-injected anatomical specimens. Medical records were reviewed of 11 consecutive patients who underwent repair of extensive skull base defects with a combination of various vascularized flaps. RESULTS The supraorbital, supratrochlear, superficial temporal, greater auricular, and occipital arteries contribute to the vascular supply of the pericranium. The pericranial flap can be designed based on an axial blood supply. Laterally, various flaps are supplied by the deep or superficial temporal arteries. The nasoseptal flap is a vascular pedicled flap based on the nasoseptal artery. Patients with extensive skull base defects can undergo effective repair with dual flaps or triple flaps using these pedicled vascularized flaps. CONCLUSIONS Multiple pedicled flaps are available for reconstitution of the skull base. Knowledge of the surgical anatomy of these flaps is crucial for the skull base surgeon. These vascularized tissue flaps can be used effectively as single or combination flaps. Multilayered closure of cranial base defects with vascularized tissue can be used safely and may lead to excellent repair outcomes.

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“…3). The coronoid process, 'Coronoid meaning Crow', has been described as one of the bony processes of the ramus of the mandible 6 . The coronoid process as beak shaped 8 , triangular coronoid process 9,10,11,12 .…”

Section: Fig 2: Showing Hooked Coronoid Processmentioning

confidence: 99%

“…These grafts can be widely used in the reconstruction of osseous defects in oral and maxilla-facial region. The Coronoid process makes a perfect donor graft site for reconstruction of orbital floor deformities 5,6 . The use of a temporalis myofascial flap both as a single and as composite flap with cranial bone, as the arteries supplying the coronoid process, arise from vessels that supply the muscles attaching to these processes, and generally not from the inferior alveolar artery which primarily supplies the mandibular body and teeth 7 .…”

Section: Introductionmentioning

confidence: 99%

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2017

IJPSR

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Background:The coronoid process of mandible is thin flat triangular process from the ramus of the mandible. This varies in the shapes and size. It gives attachment to two main muscles that is temporalis and masseter muscle. The coronoid process is the favourable donor site. A Coronoid process graft can be used for alveolar defects repair, orbital floor repair, maxillary augmentation, repair of non-union fracture of mandible. These grafts can be widely used in the reconstruction of osseous defects in oral and maxilla-facial region. Aim of the Study: This study is done to find out the variation in shape of coronoid process of mandible, Intercoronoid distance, coronoid-condylar distance and the length and breadth and thickness of the coronoid process of mandible. Methods: The study was done on the 100 dry human mandibles from the osteology bank of Saveetha medical college and hospital. The distance was measured using the digital vernier callipers and the values were analysed. Results: This study is useful for the maxillofacial surgeon and this useful for determining the buccal vestibule during denture fabrication and helps us to understand the angle and extent opening of the mouth. INTRODUCTION:The mandible is the largest, strongest bone of the facial skeleton and it is the second bone in the body to ossify. It has a horizontally curved body and two vertically placed rami that ascend in the posterior aspect. The rami bear the coronoid and the condylar process. The coronoid process projects upwards and slightly forwards as a triangular plate of bone. Its posterior border bounds the mandibular incisures and its anterior border continues into that of the ramus.

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The use of the temporalis muscle flap in facial and craniofacial reconstructive surgery. A review of 182 cases

Cited by 131 publications

References 28 publications

A Retrospective Study of Temporalis Muscle and Fascia Flap in Treatment of TMJ Ankylosis

A Retrospective Study of Temporalis Muscle and Fascia Flap in Treatment of TMJ Ankylosis

Surgical anatomy and utility of pedicled vascularized tissue flaps for multilayered repair of skull base defects

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