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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

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.