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Temporalis muscle resuspension using titanium miniplates and screws: technical note
C M Barone1, D F Jimenez, M T Boschert
1Division of Plastic and Reconstructive Surgery, University of Missouri-Columbia, 65212, USA. baronec@health.missouri.edu
Neurosurgery
|February 28, 2001
Summary
Titanium miniplates and screws offer a safe and effective method for temporalis muscle resuspension after cranial surgery. This technique ensures secure muscle reattachment, preventing complications and improving patient outcomes.
Area of Science:
- Neurosurgery
- Craniofacial Surgery
- Biomaterials in Medicine
Background:
- Cranial procedures often require detachment of the temporalis muscle.
- Resuspension of the temporalis muscle is crucial for preventing complications like temporal hollowing.
- Existing methods for muscle reattachment may have limitations.
Purpose of the Study:
- To detail the technique for using titanium miniplates and screws for temporalis muscle resuspension.
- To evaluate the outcomes and safety of this method in patients undergoing cranial procedures.
Main Methods:
- A retrospective review of 34 patients undergoing cranial procedures.
- Titanium miniplates (1.5-mm or 1.3-mm) and screws were used for temporalis muscle resuspension after bone flap replacement.
Main Results:
- Successful and secure resuspension of the temporalis muscle was achieved in all 34 patients.
- No instances of infection, muscle tears, dislodgement, fractures, or temporal hollowing were reported.
- In four re-explored cases, the muscle demonstrated rigid fixation and scarring to the bone.
Conclusions:
- Titanium miniplates and screws provide a safe, simple, and successful alternative for temporalis muscle reattachment.
- This technique is effective in preventing common complications associated with temporalis muscle detachment during cranial surgery.