[Reconstruction after maxillectomy using the temporalis muscle flap--our experience]

The study presents a method of a reconstruction of the palatum after maxillectomy. This method is choosen in selected cases of malignant tumors of the maxilla.

The method is combined of preparation of the temporalis muscle flap and its dislocation it under arcus of zygoma into the oral cavity. The surface of the flap covered with temporal fascia is oriented into the oral cavity and has been stitched in the hole of the palatum. The surface of the flap covered with periostium is connected to postoperative cavity of the maxilla. The flap covered the palatum tightly divides oral cavity from postoperative cavity of the maxilla. The vascular pedicle of the flap, with deep temporal vessels supply blood for proper healing of the palatum. Oncologic control of the postoperative cavity is performed using imaging investigation (computer tomography, magnetic resonance). The loss of tissue in the temporal fossa is covered by temporal fossa fat or synthetic material.

The reconstruction method brings satisfactory functional result. The method allows to avoid using inconvenient prostheses--obturators of palatum--in patients after maxillectomy. Complications in this method as postoperative perforation of the palatum and necrosis of the muscle flap are rare--less than 5% cases.