Related Experiment Video
Updated: May 26, 2026
Modified Heterotopic Hindlimb Osteomyocutaneous Flap Model in the Rat for Translational Vascularized Composite Allotransplantation Research
Published on: April 26, 2019
[The osteomyoplastic flap, a contribution to neurosurgery]
Francisco Manuel Grajeda-García1, Fanny Mercado-Caloca
1Departamento de Neurocirugía, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México. francisco_graj@yahoo.com.mx
Background:
the cosmetic deformities that appear after a pterional craniotomy are usually the result of atrophy of the temporal muscle, lesion of the frontotemporal branch of the facial nerve or occur as a consequence of the way the craniotomy was done.The objective was to compare the functional and aesthetic complications from both the classic pterional approach and the osteomyoplastic flap type approach in patients with supratentorial surgical pathology either vascular or tumoral.
Methods:
a retrospective observational comparative survey was done. All the patients operated on who required a pterional approach for a supratentorial pathology and were given either a classic pterional approach or an osteomyoplastic pterional flap were included.
Results:
the variables: surgical time and hollowing had significant differences; the pterional approach with less operative time (p < 0.001) and the osteomyoplastic approach with less hollowing perceived by the patients (p = 0.013).
Conclusions:
the osteomyoplastic flap showed a less severe hollowing in the temple although it demands more time in order to perform it. The frequency of complications seems to be the same.