Temporal Muscle Flap as a Treatment of an Extensive Cleft Palate in an Adult Patient

2020 ◽  
Vol 31 (2) ◽  
pp. e153-e155
Author(s):  
Claiton Heitz ◽  
Eleonor Álvaro Garbin-Júnior ◽  
Ricardo Augusto Conci ◽  
Luiza Roberta Bin ◽  
Resident Letícia Nadal ◽  
...  
Author(s):  
M.D. Pavelski ◽  
R.A. Conci ◽  
C. Heitz ◽  
E.A. Garbin-Junior ◽  
G.L. Griza ◽  
...  

2012 ◽  
Vol 49 (2) ◽  
pp. 245-248 ◽  
Author(s):  
Jose G. Christiano ◽  
Amir H. Dorafshar ◽  
Eduardo D. Rodriguez ◽  
Richard J. Redett

A 6-year-old girl presented with a large recalcitrant oronasal fistula after bilateral cleft lip and palate repair and numerous secondary attempts at fistula closure. Incomplete palmar arches precluded a free radial forearm flap. A free vastus lateralis muscle flap was successfully transferred. No fistula recurrence was observed at 18 months. There was no perceived thigh weakness. The surgical scar healed inconspicuously. Free flaps should no longer be considered the last resort for treatment of recalcitrant fistulas after cleft palate repair. A free vastus lateralis muscle flap is an excellent alternative, and possibly a superior option, to other previously described free flaps.


2015 ◽  
Vol 8 (4) ◽  
pp. 348-351 ◽  
Author(s):  
Jorge Guiñales Díaz de Cevallos ◽  
Jose L. Cebrián Carretero ◽  
Jose L. Del Castillo Pardo de Vera ◽  
Miguel Burgueño García

Midline tumors of the palate may represent a challenge for the maxillofacial surgeon. Their resection and immediate reconstruction could be hindered when a simply intraoral approach is selected. The Le Fort I downfracture approach represents an ideal technique for the management of this tumors, simplifying their resection, ensuring a tumor-free margin, and allowing their reconstruction with a temporal muscle flap. A review of this procedure is presented, highlighting the technical keys and its principal advantages.


1987 ◽  
Vol 80 (3) ◽  
pp. 385-389
Author(s):  
Tatsuzo Taira ◽  
Toshitada Sakai ◽  
Masaya Takumida ◽  
Shinobu Yamaguchi ◽  
Koji Yajin

2014 ◽  
Vol 2014 (aug22 1) ◽  
pp. bcr2014204018-bcr2014204018
Author(s):  
S. Pathak ◽  
S. Baliga ◽  
S. M. Kotrashetti ◽  
A. Pillai

Author(s):  
Leonardo Morais Godoy Figueiredo ◽  
Rômulo Oliveira de Hollanda Valente ◽  
Thaís Feitosa Leitão de Oliveira ◽  
Viviane Almeida Sarmento

Introduction: Temporomandibular joint (TMJ) ankylosis is an extremely disabling affliction that causes problems in mastication, digestion, speech, appearance, and hygiene. Objective: Report a case of TMJ ankylosis diagnosed in adulthood and discusses the aspects involved in their treatment, and the use of temporal muscle flap in reconstructive surgery of the TMJ. Cases description: 39 year-old female with mouth opening of 4mm, was diagnosed with left TMJ ankylosis and treated by arthroplasty with interpositional temporalis muscle flap, progressing with mouth opening of 20 mm after two months out surgery. Conclusion: Despite the numerous surgical techniques for the treatment of TMJ ankylosis, it is still a great challenge, because of high rates of recurrence, which is associated with several factors including age, time of onset, surgical technique, and postoperative care performed. Therefore, it is necessary not only an interdisciplinary team to establish a complete and adequate treatment, but also to carry out a correct and early diagnosis in order to establish a treatment the prognosis is favorable to the patient.


2019 ◽  
Vol 47 (7) ◽  
pp. 1104-1109
Author(s):  
J. Laloze ◽  
J. Brie ◽  
B. Chaput ◽  
J. Usseglio

2019 ◽  
Vol 2019 ◽  
pp. 1-7
Author(s):  
Carmen Navarro-Perea ◽  
Ignacio Cañas-Zamarra ◽  
Enrique Mencía-Gutiérrez ◽  
Enrique Revilla-Sánchez ◽  
María-Dolores Lago-Llinás ◽  
...  

Purpose: Mucormycosis is an infection caused by fungi to the class Zygomycetes that usually appears in immunosuppressed patients. Diagnostic confirmation is often delayed, with fatal prognosis in cases in which treatment is not rapidly established. Case report: We present two clinical cases of rhino-orbito-cerebral mucormycosis with an atypical presentation form, consisting of a unilateral complete sudden vision loss. Intravenous treatment with liposomal amphotericin B was started and total orbital exenteration surgery was performed. The removed surgical area was filled with gauze impregnated with liposomal amphotericin B and was left open for cures every 12 hours. Due to the good clinical evolution, a reconstruction of the orbital exenteration defect was performed in Case 1 with a temporal muscle flap and a skin island pedicled flap. In Case 2, reconstruction was not performed due to the poor evolution of the patient. Discussion: As it is a very aggressive surgery, the aesthetic and functional sequelae are very important. When the survival of the patient is achieved, we should offer reconstructive solutions that improve their quality of life. The reconstruction carried out using a flap of the temporal muscle can be made in a single act without requiring microvascular surgery.


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