THE USE OF THE TEMPORALIS MYOFASCIAL FLAP FOR HEAD AND NECK RECONSTRUCTION: CROSS SECTIONAL STUDY

Xuan Quang Ly , Thi Hai Ha Van, Ngoc Tuong Linh Tran, Thanh Tai Tran

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Abstract

Objectives: The temporalis myofascial (TM) flap is a versatile tool used in head and neck reconstructive surgery. To report our experience with the use of the TM flap in different scenarios of reconstruction, technique of harvest and discuss clinical applications of this versatile of flap. Methods: This is a case series study. Patients underwent TM flap reconstruction flap at University Medical Center from January 2018 to April 2022. The defects had various etiologies including: tumors and congenital causes. The demographic data of patients, defect characteristics, operative procedures, postoperative results and complications were documented. Results: A total of 16 patients were included in this study. The mean age of the patients were 60.7 years old. The flap was used for reconstruction of oral defects, hard and soft palate, maxillary defect, skull base and orbital defect. There were no cases of flap loss. No major complications were reported. Two patients had primary donor site reconstruction. Conclusion: Based on our experiences with use of TM flap with deep temporal artery, the TM is work for the creative head and neck reconstructive surgeon.

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References

1. Lentz J (1895). Ankylose osseuse de la mâchoire inférieure, résection du col condyle avec interposition du muscle temporal entre les surfaces de résection. Congrès Franc de Chir, 113.
2. Golovine S (1898). Procédé de cloture plastique de l'orbite après l'exenteration. Arch Ophthalmol, 18:679-680.
3. Gilles H, Plastic Surgery of the Face. London. 1920, Oxford.
4. Rambo J T (1958). Musculoplasty: a new operation for suppurative middle ear deafness. Transactions-American Academy of Ophthalmology arid Otolaryngology. American Academy of Ophthalmology and Otolaryngology, 62(2): 166-177.
5. Shagets F w, Panje w R, Shore J w (1986). Use of temporalis muscle flaps in complicated defects of the head and face. Archives of Otolaryngology- Head & Neck Surgery, 112(l):60-65. 6. Bradley PBrockbank J (1981). The temporalis muscle flap in oral reconstruction: a cadaveric, animal and clinical study. Journal of Maxillofacial Surgery, 9:139-145.
7. Eldaly A, et al (2008). Temporalis myofascial flap for primary cranial base reconstruction after tumor resection. Skull Base, 18(04):253-263.
8. Sơn L V (2004). Phục hồi các khuyết vùng hàm mặt bằng vạt cân cơ thái dương. Đại học Y Hà Nội.
9. Cheung L (1996). The blood supply of the human temporalis muscle: a vascular corrosion cast study. Journal of anatomy, 189(Pt 2):431.
10. Hanasono M M, Utley D s, Goode R L (2001). The temporalis muscle flap for reconstruction after head and neck oncologic surgery. The Laryngoscope, 111(10): 1719-1725.
11. Clauser L (1998). The temporalis muscle Hap revisited on its centennial: advantages, newer uses, and disadvantages. Plastic and Reconstructive Surgery, 101 (4): 1154- 1155.
12. Colmenero c, et al (1991). Temporalis myofascial flap for maxillofacial reconstruction. Journal of oral and maxillofacial surgery, 49(10): 1067- 1073.