The use of the temporalis myofascial flap in oral cancer patients

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Imad Abu-El NaajMicha Peled

Abstract

The purpose of this article is to present our experience using the simple, reliable, and predictable temporalis myofascial flap (TMF) in rehabilitation and reconstructive surgery in cancer patients who are older and whose health is compromised in a way that precludes the use of microvascular free flaps. Our series includes 10 patients (8 men and 2 women), ranging in age from 62 to 85 years (mean, 73.4 years). A full-thickness anteroinferiorly based TMF was used in 5 patients for palatal reconstruction, 3 patients for buccal lining reconstruction, and 2 patients for reconstruction after resection of facial skin and buccal mucosa. The TMF survival rate in this study was excellent, with an 80% success rate (2 minor complications). Complications included 1 case of a partial distally necrotic flap that resolved after local debridement and did not require further flap manipulation and 1 case of transient, spontaneously resolved facial nerve (temporal branch) palsy and limited mouth opening (<20 mm), which also resolved after judicious physiotherapy. The TMF was found in this study to have a fairly low complication rate, was relatively easy to use, and had a predictable outcome. The proximity and reliability of the myofascial flap mak...Continue Reading

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Citations

Apr 20, 2011·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Hristo ShipkovBoian Vladimirov
Dec 3, 2014·American Journal of Otolaryngology·Joseph ZengaJason A Diaz
Dec 30, 2016·The Journal of Craniofacial Surgery·Ahmed Gaber Hassanein
Jan 8, 2014·BioMed Research International·Daleya Abdulaziz BardiMahmood Ameen Abdulla
Aug 26, 2014·The Journal of Craniofacial Surgery·Hossein BehniaKaveh Seyedan
Feb 2, 2021·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Giacomo FiacchiniIacopo Dallan

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