Pedicled Temporalis Muscle Flap for Craniofacial Reconstruction: A 35-Year Clinical Experience with 366 Flaps

Pedicled Temporalis Muscle Flap for Craniofacial Reconstruction: A 35-Year Clinical Experience with 366 Flaps

In the past 130 years, the temporalis muscle flap has been used for a variety of different indications. In this age of microsurgery and perforator flaps, the temporalis muscle flap still has many useful applications for craniofacial reconstruction. Three hundred sixty-six temporalis muscle flaps wer...

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Bibliographic Details
Published in:Plastic and reconstructive surgery (1963) Vol. 139; no. 2; pp. 468e - 476e
Main Authors: Spanio di Spilimbergo, Stefano, Nordera, Paolo, Mardini, Samir, Castiglione, Giusy, Chim, Harvey, Pinna, Vittore, Brunello, Massimo, Cusino, Claudio, Roberto, Squaquara, Baciliero, Ugo
Format: Journal Article
Language:English
Published: United States by the American Society of Plastic Surgeons 01-02-2017
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Face - surgery
Female
Humans
Male
Middle Aged
Reconstructive Surgical Procedures - methods
Surgical Flaps
Temporal Muscle - transplantation
Time Factors
Young Adult
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Summary:In the past 130 years, the temporalis muscle flap has been used for a variety of different indications. In this age of microsurgery and perforator flaps, the temporalis muscle flap still has many useful applications for craniofacial reconstruction. Three hundred sixty-six temporalis muscle flaps were performed in a single center between 1978 and 2012. The authors divided the cases into two series-before and after 1994-because, after 1994, they started to perform free flap reconstructions, and indications for reconstruction with a temporalis muscle flap were changed RESULTS:: In the series after 1994, flaps were most commonly used for reconstruction of defects in the maxilla, mandible, and oropharynx, in addition to facial reanimation and filling of orbital defects. Complications included total flap necrosis (1.6 percent) and partial flap necrosis (10.7 percent). The rate of material extrusion at the donor site decreased after porous polyethylene was uniformly used for reconstruction from 17.1 to 7.9 percent. The pedicled temporalis muscle flap continues to have many applications in craniofacial reconstruction. With increasing use of free flaps, the authors' indications for the pedicled temporalis muscle flap are now restricted to (1) orbital filling for congenital or acquired anophthalmia; (2) filling of unilateral maxillectomy defects; and (3) facial reanimation in selected cases of facial nerve palsy. Therapeutic, IV.
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ISSN:0032-1052
1529-4242
DOI:10.1097/PRS.0000000000003011