Endoscopic harvest of a temporalis flap for a maxillary reconstruction

The use of a temporalis muscle flap for reconstruction of the maxilla is a common technique at the moment. One of the disadvantages of applying this technique is the anesthetic scar generated in the temporalis fossa and the depression of this area. We present a new method for endoscopically harvesting the muscle flap, through minimal incisions situated in the temporalis fossa and preauricular region. This endoscopic technique has not been described in the literature for a hemimaxillary reconstruction. We present the first case of a maxillary reconstruction with an endoscopically assisted temporalis muscle flap with excellent results.