scholarly journals Reconstruction of Orbital Suprastructure Maxillectomy Defects by Temporalis Myofascial Flap

2019 ◽  
Vol 71 (2) ◽  
pp. 190-194
Author(s):  
Prathamesh S. Pai ◽  
Angshuman Dutta
2016 ◽  
Vol 10 (02) ◽  
pp. 277-280 ◽  
Author(s):  
Vikas Dhupar ◽  
Francis Akkara ◽  
Pulkit Khandelwal

ABSTRACTAdenomatoid odontogenic tumor (AOT) is a rare tumor comprising only 3% of all odontogenic tumors. It is a benign, encapsulated, noninvasive, nonaggressive, slowly growing odontogenic lesion associated with an impacted tooth. These lesions may go unnoticed for years. The usual treatment is enucleation and curettage, and the lesion does not recur. Here, we present a rare case of an unusually large aggressive AOT of maxilla associated with impacted third molar. The authors also discuss clinical, radiographic, histopathologic, and therapeutic features of the case. Subtotal maxillectomy with simultaneous reconstruction of the surgical defect with temporalis myofascial flap was planned and carried out.


2011 ◽  
Vol 145 (2_suppl) ◽  
pp. P183-P183
Author(s):  
Rak Tananuvat ◽  
Donyarat Ruenmarkkaew ◽  
Pichit Sittitrai ◽  
Chronticha Srivanitchapoom

Author(s):  
Ruchika Tiwari ◽  
Vikas Singh ◽  
Raghav Mehta ◽  
Bindu Bhardwaj ◽  
Gaurang Thanvi ◽  
...  

2015 ◽  
Vol 32 (2) ◽  
pp. 78-83
Author(s):  
Muhammad Sohag Shikder ◽  
Md Mokerrom Hasan ◽  
Abdullah Al Masud ◽  
Ismat Ara Haider ◽  
Mohiuddin Ahmed

Temporalis myofascial flap holds great promise for the reconstruction of various defects of the maxillofacial region for its dependable blood supply, proximity to the maxillofacial region, possibility to mobilize it to the oral cavity and its fanned out nature. The purpose of the study was to evaluate the efficacy of temporalis myofascial flap in maxillofacial reconstruction.This cross sectional study was carried out in the Department of Oral and Maxillofacial Surgery, Dhaka Dental College and Hospital from January 2011 to December 2011. Nineteen patients (10 male and 9 female), age ranging from 19 to 55 years with medium to large defect (>8cm)were selected for this study. After surgical resection of the pathological lesion, the TMF was exposed by a hemicoronal incision with a preauricular extension. The muscle was rotated to oral cavity and sutured with defect margin. Post-operatively the patient were clinically evaluated at 1, 2, 3 weeks and 1 and 3 months. Complete flap take was observed in 84% cases where as partial flap take was seen in 16% cases. Mouth opening restriction were 2-3 mm in 10 cases and 5-8 mm in 5 cases.Temporalis myofascial flap is a useful, reliable and versatile option for reconstruction of moderate to large sized defects. This flap provide abundant tissue, with minimum to no functional morbidity or esthetic deformity in donor site.J Bangladesh Coll Phys Surg 2014; 32: 78-83


2009 ◽  
Vol 37 (2) ◽  
pp. 96-101 ◽  
Author(s):  
Iacopo Dallan ◽  
Riccardo Lenzi ◽  
Stefano Sellari-Franceschini ◽  
Manfred Tschabitscher ◽  
Luca Muscatello

2017 ◽  
Vol 21 (03) ◽  
pp. 259-264 ◽  
Author(s):  
Tara Brennan ◽  
Tristan Tham ◽  
Peter Costantino

Introduction The temporalis myofascial (TM) is an important reconstructive flap in palate reconstruction. Past studies have shown the temporalis myofascial flap to be safe as well as effective. Free flap reconstruction of palate defects is also a popular method used by contemporary surgeons. We aim to reaffirm the temporalis myofascial flap as a viable alternative to free flaps for palate reconstruction. Objective We report our results using the temporalis flap for palate reconstruction in one of the largest case series reported. Our literature review is the first to describe complication rates of palate reconstruction using the TM flap. Methods Retrospective chart review and review of the literature. Results Fifteen patients underwent palate reconstruction with the TM flap. There were no cases of facial nerve injury. Five (33%) of these patients underwent secondary cranioplasty to address temporal hollowing after the TM flap. Three out of fifteen (20%) had flap related complications. Fourteen (93%) of the palate defects were successfully reconstructed, with the remaining case pending a secondary procedure to close the defect. Ultimately, all of the flaps (100%) survived. Conclusion The TM flap is a viable method of palate defect closure with a high defect closure rate and flap survival rate. TM flaps are versatile in repairing palate defects of all sizes, in all regions of the palate. Cosmetic deformity created from TM flap harvest may be addressed using cranioplasty implant placement, either primarily or during a second stage procedure.


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