Anteriorly Pedicled Wide Temporalis Muscle Flap With the Minimum Zygomatic Osteotomy Technique for Post-Discectomy Temporomandibular Joint Arthroplasty

An anteriorly pedicled temporalis muscle flap has been shown to be a suitable interpositional material for the treatment of ankylosis and post-discectomy arthroplasty. The passage of the wide flap beneath the zygomatic arch into the joint space can be difficult owing to its bulk, causing excessive t...

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Bibliographic Details
Published in:	Journal of oral and maxillofacial surgery Vol. 72; no. 10; pp. 1915 - 1919
Main Authors:	Saigusa, Makoto, DMD, MD, FACS, McNaught, Michael J., DDS
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-10-2014
Subjects:	Ankylosis - surgery Arthroplasty - methods Dentistry Humans Joint Capsule - surgery Ligaments, Articular - surgery Mandibular Condyle - surgery Osteoarthritis - surgery Osteotomy - methods Range of Motion, Articular - physiology Surgery Surgical Flaps - transplantation Temporal Bone - surgery Temporal Muscle - transplantation Temporomandibular Joint Disc - surgery Temporomandibular Joint Disorders - surgery Zygoma - surgery
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Summary:	An anteriorly pedicled temporalis muscle flap has been shown to be a suitable interpositional material for the treatment of ankylosis and post-discectomy arthroplasty. The passage of the wide flap beneath the zygomatic arch into the joint space can be difficult owing to its bulk, causing excessive trauma to the vascularized pedicle. We describe the use of minimum zygomatic osteotomy without fixation for the passage of an anteriorly pedicled wide temporalis muscle flap for post-discectomy arthroplasty.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0278-2391 1531-5053
DOI:	10.1016/j.joms.2014.04.019