Carl A Bifano, Pranathi V Reddy and Allen Fred Fielding*
Department of Oral Maxillofacial Surgery Temple University Hospital, USAFulltext PDF
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.
Methods: The series includes 9 patients (6men and 3women), ranging in age from 35 to 52years. 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 with1 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.
Bifano CA, Reddy PV, Fielding AF. Temporalis Myofascial Flap (TMF) and Immediate Soft Tissue Reconstruction for Maxillary, Mandibular Defects: Radiated and Non-Radiated Patients with the Return of Sensory Function. J Dent Oral Biol. 2017; 2(1): 1023.