Reconstruction of composite oral XXXX with temporalis flaps after prior treatment.

@entity1 @entity154 @entity82 @entity5 @entity7190 @entity5749 @entity158
BACKGROUND: Reconstruction of composite oral @entity154 in the setting of prior surgery and radiotherapy presents a significant challenge. Although free tissue transfer has shown success in such situations, it is not without considerable risk. Regional pedicled flaps may provide a more suitable alternative. In certain @entity1 , however, severe soft tissue @entity82 makes more conventional regional flaps impractical or impossible. In these situations, temporalis flaps (temporalis muscle and temporoparietal fascia flaps) are versatile options for coverage of complex defects. OBJECTIVE: To report our experience using pedicled temporalis flaps for reconstruction of composite oral @entity154 in @entity1 with significant co-morbidities and prior treatment. METHODS: Three @entity1 were identified and their medical records were reviewed. Their clinical courses and functional outcomes are described. We include a discussion of the operative technique and relevant literature. RESULTS: All @entity1 had previously undergone extensive treatment. One @entity1 needed reconstruction after resection of a third head and neck @entity5 and two @entity1 presented for treatment of @entity7190 . A temporalis muscle flap was used to reconstruct composite oral @entity154 in two @entity1 and a combined temporalis muscle and temporoparietal fascia flap was used for independent defects in one @entity1 . All flaps survived. Functional status and @entity158 improved or stabilized in all @entity1 . There were no major or minor complications. CONCLUSION: In previously treated fields, where more conventional flaps are impractical, temporalis flaps are a suitable alternative to achieve a @entity5749 wound and prevent worsening of functional status.
