Research Article
Temporalis Myofascial Flap (TMF) and Immediate Soft Tissue Reconstruction for Maxillary, Mandibular Defects: Radiated and Non-Radiated Patients with the Return of Sensory Function
Carl A. Bifano, Pranathi V. Reddy and
Allen Fred Fielding
Correspondence Address :
Allen Fred Fielding, DMD, MD
Professor, Associate Resident Director
Department of Oral and Maxillofacial Surgery
Temple
University Hospital
USA
Email: allenf@temple.edu, afieldin@temple.edu
Received on: October 23, 2016, Accepted on: November 26, 2016, Published on: December 02, 2016
Citation: Carl A. Bifano, Pranathi V. Reddy, Allen Fred Fielding (2016). Temporalis Myofascial Flap (TMF) and Immediate Soft Tissue
Reconstruction for Maxillary, Mandibular Defects: Radiated and Non-Radiated Patients with the Return of Sensory Function
Copyright: 2016 Allen Fred Fielding, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Purpose: The purpose of this article is to present the simple, reliable and predictable temporalis myofascial flap (TMF) in rehabilitation and immediate soft tissue reconstruction for maxillary and mandibular defects: Both Radiated and Non-Radiated Patients with the return of Sensory Function.
Patients and Methods: The series includes 9 patients (6 men and 3 women), ranging in age from 35 to 52 years. A full-thickness TMF was used for immediate soft tissue defect reconstruction.
Results: The TMF survival rate in this study revealed a 100% success rate with 1 minor complication. This was a case of a delayed closure of the bicoronal flap drain site which resolved after local wound care and oral antibiotics, and did not require further flap manipulation.
Conclusions: The TMF was found, in this study to have a low complication rate, was relatively easy to use, and had a predictable outcome with lack of functional deficits. The proximity and reliability of the myofascial flap make it a favorable and highly recommended candidate for oral and maxillofacial reconstructive surgery in radiated and cancer patients, who usually have relatively poor recovery potential and decreased physiologic reserves.