scholarly journals Temporalis Muscle Flap for the Immediate Reconstruction of Oral Defects after Oncologic Resection

2021 ◽  
Vol 14 (1) ◽  
pp. 573-579
Author(s):  
Hong Loi Nguyen ◽  
Van Minh Nguyen ◽  
Xuan Phu Tran
Keyword(s):  
Case Reports ◽  
Muscle Flap ◽  
Complex Problem ◽  
Temporalis Muscle ◽  
Immediate Reconstruction ◽  
Maxillary Bone ◽  
Oncologic Resection ◽  
Temporalis Muscle Flap ◽  
The Right ◽  
Maxillary Defects

An oral defect after oncologic resection, especially in the upper jaw, is an extremely complex problem in terms of reconstructive surgery. Herein, we report 2 patients who were diagnosed with oral mucosal squamous cell carcinoma. In one patient, the lesion was present on the right side of the hard palate, invading the maxillary bone. In the other patient, the lesion was present in the left retromolar trigone region. Reconstruction of the postsurgical defects was successfully done using a temporalis muscle flap. Both patients were discharged after ensuring the absence of any postsurgical complications. Furthermore, the postoperative functional and esthetic outcomes were adequate. These case reports highlight the usefulness and reliability of a temporalis muscle flap for the immediate reconstruction of oral and maxillary defects after oncologic resection.

Gliosarcoma with infratemporal fossa extension

2006 ◽  
Vol 105 (6) ◽  
pp. 904-907 ◽  
Author(s):  
Burak Sade ◽  
Richard A. Prayson ◽  
Joung H. Lee
Keyword(s):  
Skull Base ◽  
Infratemporal Fossa ◽  
Surgical Techniques ◽  
Muscle Flap ◽  
Histopathological Diagnosis ◽  
Middle Fossa ◽  
Temporalis Muscle ◽  
Temporalis Muscle Flap ◽  
History Of ◽  
The Right

✓ Gliosarcomas are bimorphic intraaxial tumors. Involvement of the skull base is highly unexpected. The authors present the case of a temporal lobe gliosarcoma with significant infratemporal fossa extension. This 55-year-old man presented with a 1-month history of severe progressive headache. Neurological examination was unremarkable except for bilateral papilledema. Magnetic resonance imaging revealed a 6-cm right temporal mass with extension into the infratemporal fossa. The patient underwent a right frontotemporal craniotomy together with drilling of the sphenoid ridge and middle fossa floor. The tumor consisted of intraaxial, intracranial as well as extradural, and extracranial components with extension to the posterolateral wall of the sphenoid sinus. It had a relatively well-circumscribed dissection plane. Gross-total resection was achieved, and the middle fossa floor was reconstructed using a rotated temporalis muscle flap. The postoperative course was uneventful except for hypesthesia in the distribution of the maxillary division of the right trigeminal nerve. The histopathological diagnosis was consistent with gliosarcoma. Radiotherapy and chemotherapy consisting of temozolomide were administered subsequently, and the patient was recurrence free 12 months after his initial diagnosis. In the presence of a mass lesion with both intraaxial and extracranial involvement, gliosarcoma should be considered among the differential diagnoses. Aggressive resection should be attempted, including the use of skull base surgical techniques to ensure an optimal outcome. The effect of skull base involvement to the overall treatment and outcome of patients with gliosarcomas would be difficult to determine given the rare occurrence of these lesions in such locations.

scholarly journals The Versatility of Temporalis Muscle Flap in Reconstruction of Maxillofacial Region

1970 ◽  
Vol 2 (1) ◽  
Author(s):  
Anastasia Dessy Harsono ◽  
Prasetyanugraheni Kreshanti ◽  
Siti Handayani ◽  
Kristaninta Bangun
Keyword(s):  
Facial Paralysis ◽  
Muscle Flap ◽  
Surgical Anatomy ◽  
Temporalis Muscle ◽  
Maxillofacial Region ◽  
Reconstructive Procedures ◽  
Tmj Ankylosis ◽  
Temporalis Muscle Flap ◽  
Facial Reanimation ◽  
The Right

Background: The temporalis muscle !ap (TMF) is a very versatile and valuable axial flap, which could be used in various reconstructive procedures in and around the maxillofacial region. The surgical anatomy, vascular pattern and technique of elevation of the flap are described, associated with our experience in different reconstructive situations. Patient and Method: There were two patients, one case of TMJ ankylosis and one case of facial paralysis. The TMF was used as an interpositional arthroplasty for TMJ ankylosis, as a dynamic facial reanimation for facial paralysis. Result: In the first patient, he was able to open his mouth 4 cm in 2 weeks following the surgery. There was no pain or other complication complained. In second patient, in two weeks follow up after the surgery, we found the edema was decrease gradually. The contraction on the right nasolabial sulcus was slightly seen. Summary: These report described the reliability, versatility and reproducibility of temporalis muscle flap. The rich vascularized tissue and its proximity to the reconstruction site make this flap reliable. TMF should be taken into consideration before deciding on more extensive reconstructive procedures. 

The Blood Supply of the Reverse Temporalis Muscle Flap: Anatomic Study and Clinical Implications

1999 ◽  
Vol 103 (4) ◽  
pp. 1181-1188 ◽  
Author(s):  
Chien-Tzung Chen ◽  
Jack B. Robinson ◽  
Rod J. Rohrich ◽  
Mona Ansari
Keyword(s):  
Blood Supply ◽  
Muscle Flap ◽  
Clinical Implications ◽  
Anatomic Study ◽  
Temporalis Muscle ◽  
Temporalis Muscle Flap

Oronasal Fistula Repair Utilizing a Temporalis Muscle Flap in a Dog with Severe Trismus

2011 ◽  
Vol 47 (6) ◽  
pp. 447-454 ◽  
Author(s):  
Ryan P. Cavanaugh ◽  
James P. Farese ◽  
Nicholas J. Bacon ◽  
David M. Lurie ◽  
Rowan J. Milner
Keyword(s):  
Squamous Cell Carcinoma ◽  
Muscle Flap ◽  
Complete Recovery ◽  
Temporalis Muscle ◽  
Fistula Repair ◽  
Curative Intent ◽  
Oronasal Fistula ◽  
Maxillary Defect ◽  
Successful Resolution ◽  
Temporalis Muscle Flap

A 9 yr old spayed female cocker spaniel presented for evaluation of an invasive maxillary squamous cell carcinoma. Curative intent surgery and radiation therapy allowed for local control of the neoplasm; however, the development of a persistent oronasal fistula prevented a complete recovery. A temporalis myofascial rotation flap allowed for successful resolution of the maxillary defect. Implementation of the flap was relatively simple and was associated with few complications.

scholarly journals Orbital Skull Base Reconstruction with Temporalis Muscle: The Sphenoid Keyhole Technique

2018 ◽  
Vol 2 (1) ◽  
pp. s-0038-1669421
Author(s):  
Mofiyinfolu Sokoya ◽  
Arash Bahrami ◽  
Jason Cohn ◽  
Sameep Kadakia ◽  
Moustafa Mourad ◽  
...  
Keyword(s):  
Head And Neck ◽  
Skull Base ◽  
Muscle Flap ◽  
Head And Neck Reconstruction ◽  
Temporalis Muscle ◽  
Skull Base Reconstruction ◽  
Tension Free ◽  
Neck Reconstruction ◽  
Temporalis Muscle Flap

The temporalis flap is a common flap used in head and neck reconstruction. In this article, the authors present a new modification of the use of the temporalis muscle flap for orbital skull base reconstruction with the use of a sphenoid keyhole. This technique confers multiple advantages in reducing the arc of rotation and providing a tension-free reconstruction of the orbital skull base.

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