Reconstruction of the palate using bilateral temporalis muscle flaps: A case report

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

“…Anterior and posterior scalp flaps are then fully elevated, exposing the deep temporal fascia (Phillips and Peckit, 1988;Peterson et al, 1992). The deep temporal fascia is incised 1.5e2 cm superior to the zygomatic arch where it splits into two layers separated by the temporal fat pad.…”

“…The deep temporal fascia is elevated with the scalp flap and the temporalis muscle is exposed. The temporal fat pat is important to be elevated with the scalp flap, as this decreases the temporal hollowing, after the transposition of the temporalis muscle and prevents potential injury to the facial nerve (Phillips and Peckit, 1988). The anterior scalp flap is further elevated over the length of the zygomatic arch to the orbital rim and the masseter attachment to the inferior border of the zygoma is incised.…”

“…Inferiorly, it inserts onto the coronoid process and the anterior border of the ascending mandibular ramus, functioning as both an elevator and a retractor of the mandible (Phillips and Peckit, 1988).…”

“…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).…”

Myofascial flap without skin for intra-oral reconstruction 1: animal studies

“…[1][2][3][4][5] It is known, empirically, that the surface of these grafted flaps rapidly becomes epithelialized. However, the mechanism of epithelialization in the oral cavity remains unclear.…”