The temporalis muscle flap in reconstruction of XXXX : an appraisal of the technique.

@entity1 @entity154 @entity39 @entity2103 @entity85
PURPOSE: The purpose of this article is to review the experience of the authors in the use of the temporalis muscle flap for reconstruction of @entity154 . @entity1 AND METHODS: This is a retrospective review of the use of the temporalis muscle flap for reconstruction of different types of @entity154 in 8 @entity1 . All @entity1 in this series previously wore obturators as a nonsurgical treatment of their defects. Criteria used to evaluate the results of this technique included flap @entity39 , @entity2103 , limitation of mandibular range of motion, and @entity85 from scarring of the incision line or from loss of muscle volume in the temporal fossa. The @entity1 were also evaluated for their degree of satisfaction with their speech and mastication with the obturator preoperatively and with the flap postoperatively. This article also reviews the success rates and complications with use of the temporalis muscle flap reported in the English-language literature during the past 14 years. RESULTS: All 8 @entity1 in this series had their defects successfully reconstructed, completely eliminating any further need for prosthetic obturation of the defect. There were no incidents of flap @entity39 , @entity2103 , or long-term changes in mandibular range of motion. Slight temporal hollowing was seen in the first 3 @entity1 . Results of the literature review also showed a high success rate and a low incidence of complications with use of this flap. CONCLUSIONS: The temporalis flap is a useful, reliable, and versatile option for reconstruction of moderate to large sized defects. The muscle can provide abundant tissue, with minimal to no functional morbidity or @entity85 in the donor site.
