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[The temporal muscle flap and palatal repair]
M Freidel1, P Breton, Y Le Bescond
1Service de Stomatologie et Chirurgie Maxillo-Faciale, Centre Hospitalier Lyon-Sud, Pierre-Bénite.
Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
|January 1, 1987
Summary
This study highlights the successful use of total temporal muscle flaps for repairing large palatine defects in elderly patients. This surgical approach offers an effective and comfortable solution for complex maxillofacial reconstruction.
Area of Science:
- Maxillofacial Surgery
- Reconstructive Surgery
- Oral Oncology
Background:
- Benign extensive tumors in the middle third of the face present significant reconstructive challenges.
- Defects in the palate require immediate surgical repair for patient comfort and hygiene.
- Prosthetic solutions are often unsuitable for vast palatine breaches.
Observation:
- Two edentulous elderly women with extensive facial tumors required surgical intervention.
- The tumors necessitated excision, leading to large palatine breaches.
- Prosthetic reconstruction was deemed unsuitable for these cases.
Findings:
- A total temporal muscle flap, without zygoma section, was utilized for immediate repair.
- This surgical approach provided an effective and comfortable solution for the extensive palatine defects.
- The technique addressed a delicate and unusual reconstructive problem.
Implications:
- Temporal muscle flaps are a valuable tool in maxillofacial surgery for repairing large palatine defects.
- This method offers a viable surgical alternative when prosthetic rehabilitation is not feasible.
- The successful application highlights the versatility of temporal muscle flaps in complex facial reconstructions.