The Versatility of Temporalis Muscle Flap in Reconstruction of Maxillofacial Region Defects

Abstract

Introduction:The temporalis muscle flap is an axial pattern flap based on the anterior and posterior deep temporal arteries. It is most commonly utilized after maxillectomy. The temporalis flap splits into anterior and posterior halves, or the entire muscle used as a flap.Objectives: The purpose of this study was to: 1. Evaluate the esthetic and functional outcome by using temporalis muscle flap for reconstruction of intraoral defect. 2. Assess the effectiveness of temporalis muscle flap in intraoral defects. Study Design: It was a Descriptive studySetting: The study carried out at department of Oral and Maxillofacial Surgery King Edward Medical University / Mayo Hospital Lahore. Sample size: 30 patients who presented with intraoral defect were included in this study. Subjects and Methods DurationSample Technique: Nonprobability Sampling (Purposive).Results: Success rate was ninety percent in this study. Failure of flaps encountered in 10% cases especially in older and immunocompromised patients. Conclusions:Temporalis muscle flap is a good choice for most of the intraoral defects especially those in palatal and buccal region.

Temporal muscle flap in reconstruction of maxillo-facial tissues

“…Taking into account the values of applying fascia-muscular flap of temporal muscle, it ought to be considered as one of the fundamental restoration methods in the maxilla-facial region rather than other, more complex, time-consuming and expensive methods of reconstructive therapy [1–3, 5, 7, 10, 12, 15]. …”

Distribución nerviosa interna del músculo temporal humano: consideraciones anatómicas y quirúrgicas

“…El músculo temporal se utiliza para realizar colgajos que reconstruyan defectos en el territorio craneofacial luego de la resección de un tumor de la cavidad oral, base de cráneo u órbita, así como para el tratamiento de la parálisis facial [1][2][3][4][5] , dependiendo de su uso el colgajo de músculo temporal puede ser dinámico o estático 6 . En el primer caso, donde se busca la funcionalidad muscular es indispensable el conocimiento profundo del patrón de inervación como por ejemplo en la técnica quirúrgica de Labbé 7 .…”