The Versatility of Temporalis Myofascial Flap in Maxillo-Facial Reconstruction: A Clinical Study
Identifieur interne : 000B52 ( Pmc/Curation ); précédent : 000B51; suivant : 000B53The Versatility of Temporalis Myofascial Flap in Maxillo-Facial Reconstruction: A Clinical Study
Auteurs : Hemant Bajpai ; D. Saikrishna [Inde]Source :
- Journal of Maxillofacial & Oral Surgery [ 0972-8279 ] ; 2011.
Abstract
This clinical study was conducted in the department of Oral & Maxillofacial Surgery, at our institute, to study the versatility of temporalis myofascial flap in maxillofacial reconstruction.
The study group comprised of 20 patients, both male and female patients between the age group of 6 years and 60 years underwent surgery under general anesthesia and temporalis myofascial flap was used for reconstruction of various types of maxillofacial defects including maxillectomy defects arising as a result of ablative surgery for tumors and treatment of aggressive cysts, as an interposing material in TMJ ankylosis surgery and facial reanimation in cases of long standing facial nerve paralysis. Following surgery the cases were evaluated for clinical parameters weekly for first post-operative month followed by monthly review for a minimum period of one and maximum of three years from January 2003 to June 2006.
Temporalis myofascial flap fared well in 16 out of 20 cases (80%), in remaining four cases (20%) three reported back with reankylosis, and in one case of facial reanimation flap breakdown occurred due to infection leading to failure of the procedure.
The temporalis myofascial flap is a versatile option for reconstruction of moderate to large sized maxillofacial defects, the muscle can provide abundant viable and vascular tissue, with minimal to no functional morbidity or esthetic deformity at the donor site.
Url:
DOI: 10.1007/s12663-011-0173-5
PubMed: 22379317
PubMed Central: 3177505
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Hemant Bajpai<affiliation><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, Mahrana-Pratap Dental College & Hospital, Kothi Mandhana, Kanpur, U.P. India</nlm:aff>
<wicri:noCountry code="subfield">U.P. India</wicri:noCountry>
</affiliation>
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<author><name sortKey="Bajpai, Hemant" sort="Bajpai, Hemant" uniqKey="Bajpai H" first="Hemant" last="Bajpai">Hemant Bajpai</name>
<affiliation><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, Mahrana-Pratap Dental College & Hospital, Kothi Mandhana, Kanpur, U.P. India</nlm:aff>
<wicri:noCountry code="subfield">U.P. India</wicri:noCountry>
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<author><name sortKey="Saikrishna, D" sort="Saikrishna, D" uniqKey="Saikrishna D" first="D." last="Saikrishna">D. Saikrishna</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The Versatility of Temporalis Myofascial Flap in Maxillo-Facial Reconstruction: A Clinical Study</title>
<author><name sortKey="Bajpai, Hemant" sort="Bajpai, Hemant" uniqKey="Bajpai H" first="Hemant" last="Bajpai">Hemant Bajpai</name>
<affiliation><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, Mahrana-Pratap Dental College & Hospital, Kothi Mandhana, Kanpur, U.P. India</nlm:aff>
<wicri:noCountry code="subfield">U.P. India</wicri:noCountry>
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<author><name sortKey="Saikrishna, D" sort="Saikrishna, D" uniqKey="Saikrishna D" first="D." last="Saikrishna">D. Saikrishna</name>
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<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Oral and Maxillofacial Surgery, JSS Dental College & Hospital, Mysore, Karnataka</wicri:regionArea>
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<series><title level="j">Journal of Maxillofacial & Oral Surgery</title>
<idno type="ISSN">0972-8279</idno>
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<imprint><date when="2011">2011</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Objectives</title>
<p>This clinical study was conducted in the department of Oral & Maxillofacial Surgery, at our institute, to study the versatility of temporalis myofascial flap in maxillofacial reconstruction.</p>
</sec>
<sec><title>Methods</title>
<p>The study group comprised of 20 patients, both male and female patients between the age group of 6 years and 60 years underwent surgery under general anesthesia and temporalis myofascial flap was used for reconstruction of various types of maxillofacial defects including maxillectomy defects arising as a result of ablative surgery for tumors and treatment of aggressive cysts, as an interposing material in TMJ ankylosis surgery and facial reanimation in cases of long standing facial nerve paralysis. Following surgery the cases were evaluated for clinical parameters weekly for first post-operative month followed by monthly review for a minimum period of one and maximum of three years from January 2003 to June 2006.</p>
</sec>
<sec><title>Results</title>
<p>Temporalis myofascial flap fared well in 16 out of 20 cases (80%), in remaining four cases (20%) three reported back with reankylosis, and in one case of facial reanimation flap breakdown occurred due to infection leading to failure of the procedure.</p>
</sec>
<sec><title>Conclusion</title>
<p>The temporalis myofascial flap is a versatile option for reconstruction of moderate to large sized maxillofacial defects, the muscle can provide abundant viable and vascular tissue, with minimal to no functional morbidity or esthetic deformity at the donor site.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Maxillofac Oral Surg</journal-id>
<journal-title-group><journal-title>Journal of Maxillofacial & Oral Surgery</journal-title>
</journal-title-group>
<issn pub-type="ppub">0972-8279</issn>
<issn pub-type="epub">0974-942X</issn>
<publisher><publisher-name>Springer-Verlag</publisher-name>
<publisher-loc>India</publisher-loc>
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<article-meta><article-id pub-id-type="pmid">22379317</article-id>
<article-id pub-id-type="pmc">3177505</article-id>
<article-id pub-id-type="publisher-id">173</article-id>
<article-id pub-id-type="doi">10.1007/s12663-011-0173-5</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research Paper</subject>
</subj-group>
</article-categories>
<title-group><article-title>The Versatility of Temporalis Myofascial Flap in Maxillo-Facial Reconstruction: A Clinical Study</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Bajpai</surname>
<given-names>Hemant</given-names>
</name>
<address><phone>+09-95-6064969</phone>
<fax>+09-41-5407347</fax>
<email>drhemant2001@yahoo.com</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
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<contrib contrib-type="author"><name><surname>Saikrishna</surname>
<given-names>D.</given-names>
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<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<aff id="Aff1"><label>1</label>
Department of Oral and Maxillofacial Surgery, Mahrana-Pratap Dental College & Hospital, Kothi Mandhana, Kanpur, U.P. India</aff>
<aff id="Aff2"><label>2</label>
Department of Oral and Maxillofacial Surgery, JSS Dental College & Hospital, Mysore, Karnataka, India</aff>
</contrib-group>
<pub-date pub-type="epub"><day>26</day>
<month>2</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="ppub"><month>3</month>
<year>2011</year>
</pub-date>
<volume>10</volume>
<issue>1</issue>
<fpage>25</fpage>
<lpage>31</lpage>
<history><date date-type="received"><day>1</day>
<month>6</month>
<year>2009</year>
</date>
<date date-type="accepted"><day>24</day>
<month>1</month>
<year>2011</year>
</date>
</history>
<permissions><copyright-statement>© Association of Oral and Maxillofacial Surgeons of India 2011</copyright-statement>
</permissions>
<abstract id="Abs1"><sec><title>Objectives</title>
<p>This clinical study was conducted in the department of Oral & Maxillofacial Surgery, at our institute, to study the versatility of temporalis myofascial flap in maxillofacial reconstruction.</p>
</sec>
<sec><title>Methods</title>
<p>The study group comprised of 20 patients, both male and female patients between the age group of 6 years and 60 years underwent surgery under general anesthesia and temporalis myofascial flap was used for reconstruction of various types of maxillofacial defects including maxillectomy defects arising as a result of ablative surgery for tumors and treatment of aggressive cysts, as an interposing material in TMJ ankylosis surgery and facial reanimation in cases of long standing facial nerve paralysis. Following surgery the cases were evaluated for clinical parameters weekly for first post-operative month followed by monthly review for a minimum period of one and maximum of three years from January 2003 to June 2006.</p>
</sec>
<sec><title>Results</title>
<p>Temporalis myofascial flap fared well in 16 out of 20 cases (80%), in remaining four cases (20%) three reported back with reankylosis, and in one case of facial reanimation flap breakdown occurred due to infection leading to failure of the procedure.</p>
</sec>
<sec><title>Conclusion</title>
<p>The temporalis myofascial flap is a versatile option for reconstruction of moderate to large sized maxillofacial defects, the muscle can provide abundant viable and vascular tissue, with minimal to no functional morbidity or esthetic deformity at the donor site.</p>
</sec>
</abstract>
<kwd-group><title>Keywords</title>
<kwd>Temporalis myofascial flap</kwd>
<kwd>Maxillo-facial</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© Association of Oral and Maxillofacial Surgeons of India 2011</meta-value>
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</custom-meta-group>
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</front>
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