Temporalis myo-fascial flap: still a versatile flap in maxillo-facial reconstruction

Temporalis Muscle flap was reported to be first used in 1898 by Golovine in the reconstruction of exenterated orbit. Since, it has been used in a variety of application for mid-face reconstruction like defects of Maxilla, Palate, Oropharynx, Orbital support and defects after exenteration, cleft palate, interpositional graft in temporomandibular joint, facial reanimation and craniofacial reconstruction. The aim of this retrospective study was to analyze the outcome of reconstruction of mid-face defects by Temporalis Myo-fascial Flap .A total number of 28 patients after ablative surgery in the mid-face region were reconstructed with temporalis myofascial flap from 2003 to 2009. There were 17 (61%) males and 11 (39%) females age ranging from 5 years to 70 years. 25 patients had temporalis muscle only and in 3 patients temporalis was used in conjunction with BFP. Reconstruction was considered satisfactory in 23 (82%) patients in terms of complete closure of defects, aesthetics and function. Small permanent residual fistula was seen in 3 (11%) patients and temporal branch paresis was noticed in 1 (3%). 1 (3%) patient had complete failure of the flap. Temporalis Myofacail Flap is a reliable and versatile flap in the reconstruction of Maxillofacail defects. Key words : temporalis muscle; maxillary defects; ablative surgery

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Jan 21, 2018 | Posted by in Oral and Maxillofacial Surgery | Comments Off on Temporalis myo-fascial flap: still a versatile flap in maxillo-facial reconstruction
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