Temporalis Myofascial Flap for Maxillofacial and Oral Defect.

Autor: Tananuvat, Rak, Ruenmarkkaew, Donyarat, Sittitrai, Pichit, Srivanitchapoom, Chronticha
Zdroj: Otolaryngology-Head & Neck Surgery; Aug2011 Supplement S1, Vol. 145, pP183-P183, 1p
Abstrakt: Objective: Temporalis myofascial flap is a good option for the reconstruction of maxillofacial, oral cavity, and parotid defect. Method: A total of 28 patients with postoperative defects located in the lower two thirds of the face and oral cavity in Chiang Mai University Hospital were included in this study. Results: Sixteen patients had nasal cavity and maxillary sinus cancer, 6 patients had oral cavity and oropharyngeal cancer, 3 patients had parotid cancer, 1 patient had cementifying fibroma, 1 patient had facial palsy, and 1 patient had osteoradionecrosis of the mandible. Temporalis muscle flap provided profuse well‐vascularized tissue for the obliteration of orbital exenteration and totalor partial maxillectomy cavities and coverage of the surface of sinonasal and oropharyngeal defects. Conclusion: Oral and nasal spaces were separated successfully in all patients. Temporalis muscle flap is a very reliable technique with low complication rates and few donor site problems. This safe and technically simple flap can be preferred for the reconstruction of maxilla‐facial defects after ablative tumor surgery, especially in older and debilitated patients. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index