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Summary:
Temporalis myofascial flap holds great promise for the
reconstruction of various defects of the maxillofacial region
for its dependable blood supply, proximity to the
maxillofacial region, possibility to mobilize it to the oral
cavity and its fanned out nature.
The purpose of the study was to evaluate the efficacy of
temporalis myofascial flap in maxillofacial
reconstruction.This cross sectional study was carried out
in the Department of Oral and Maxillofacial Surgery, Dhaka
Dental College and Hospital from January 2011 to
December 2011. Nineteen patients (10 male and 9 female),
age ranging from 19 to 55 years with medium to large defect
(>8cm)were selected for this study. After surgical resection
of the pathological lesion, the TMF was exposed by a hemicoronal
incision with a preauricular extension. The muscle
was rotated to oral cavity and sutured with defect margin.
Post-operatively the patient were clinically evaluated at 1,
2, 3 weeks and 1 and 3 months. Complete flap take was
observed in 84% cases where as partial flap take was seen
in 16% cases. Mouth opening restriction were 2-3 mm in
10 cases and 5-8 mm in 5 cases.Temporalis myofascial flap
is a useful, reliable and versatile option for reconstruction
of moderate to large sized defects. This flap provide
abundant tissue, with minimum to no functional morbidity
or esthetic deformity in donor site.
Key words: TMF-temporalis myofascial flap.
(J Banagladesh Coll Phys Surg 2014; 32: 78-83)

 

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