Rocha RP, Fonseca PA, González SA

Language: Spanish
References: 17
Page: 1-16
PDF size: 418.87 Kb.

ABSTRACT

Introduction: The magnitude of the resections of head and neck tumors depends on the tumor size, the adequacy of the margins and factors inherent to the patient. The temporal muscle is an excellent option for reconstructing defects in areas surrounding its implantation site.
Objective: To demonstrate the versatility of the temporal myofascial flap for reconstruction after oncological head and neck surgery, at the “Camilo Cienfuegos Gorriarán” Provincial University Hospital from January 2017 to December 2018.
Methods: A retrospective review of the operative reports of the cases intervened with oncological head and neck surgery was performed in the maxillofacial surgery service; A sample was taken from patients who underwent reconstruction of the surgical defect, using a temporal myofascial flap.
Results: 12 patients underwent reconstruction immediately, in a single surgical time. The defect occurred mainly in skin lesions. The average age of the patients was 66.2 years. An equitable distribution in terms of sex was observed, with 6 patients for each group. Follow-up ranged from 2 to 20 months, with a mean of 11.25 months, of which all the patients were alive and controlled.
Conclusions: The temporary flap continues to be a valid option for reconstruction in head and neck cancer surgery. Necrosis did not occur in the revised series, which makes it a very safe flap, with good aesthetic and functional results and with good tolerance to adjuvant oncospecific treatments.

REFERENCES

1. Lentz J. Ankyloseosseuse de la mâchoireinférieure, résection du col condyleavecinterposition du muscle temporal entre les surfaces de résection. CongrésFrancde Chir. 1895;113.

2. Golovine SS. Procede de clôtureplastique de l’orbiteaprèsl’exenteration. ArchOphtalmol. 1898;18:679.

3. Gillies HD, H. Frwde (ed). Plastic Surgery of the Face. London: Oxford UniversityPress. 1920;40:54-5.

4. Campbell HH. Reconstruction of the left maxilla. Plast Reconstr Surg. 1948;3:66.

5. Mathes SJ, Nahai F. Classification of the vascular anatomy of muscles: experimental and clinical correlation. PlastReconstrSurg. 1981;67:177-87.

6. Cheung LK. The vascular anatomy of the human temporalis muscle: implications for surgical splitting techniques. Int J Oral Maxillofac Surg. 1996;25:414-21.

7. Carvalho de Lima do Nascimento T. Temporal Flap as an Option for Buconasal Fistula Closure. J Craniofac Surg. 2018; 29(2):339-41.

8. Colletti G. Regional flaps in head and neck reconstruction: a reappraisal. J Oral Maxillofac Surg. 2015;73(3):571-10.

9. Costan V. Value of temporoparietal fasciocutaneous flaps in reconstruction of cutaneous defects at the OMF region."Rev Med Chir Soc Med Nat Iasi. 2007;111(3):759-62.

10. Dizdarevic D. Elongated Miofascial Temporal Flap in Comparison with Standard Surgical Procedure of Temporal Muscle Reconstruction. Med Arch. 2017;71(5):338-40.

11. Fray M. Colgajo de músculo temporal para la reconstrucción de defectos maxilofaciales. Experiencia con veinticinco casos. Rev Argent Cirug. 2015;107(3):108-13.

12. Gagliardi F. Bilateral Temporal Myofascial Flap for the Reconstruction of Frontal Sinus Defects. World Neurosurg. 2017;107:477-81.

13. Granado R. Colgajo temporal como alternativa reconstructiva en un carcinoma epidermoide cutáneo de la región parotídea. Revista Cubana de Cirugía. 2016;55(2):176-84.

14. Zubillaga Rodríguez I, Garcia Recuero I. Utilización del colgajo de músculo temporal en cirugía reconstructiva maxilofacial. Revisión de 104 casos. Rev Esp cirug Oral y Maxilofac. 2004;26:228-37.

15. Karino M. Applicability of Pedicled Coronoid Process and Temporal Muscle(Fascial)Combined(PCPTM)Flap for Reconstruction of Orbital Floor Defect Following Hemi-Maxillectomy for Advanced Maxillary Cancer - A Report of Two Cases. Gan To Kagaku Ryoho. 2017;44(12):2035-7.

16. Lopez R. The temporal fasciocutaneous island flap for oncologic oral and facial reconstruction. J Oral Maxillofac Surg. 2003;61(10):1150-5.

17. Zhao J. Using the Reversed Temporal Island Flap to Cover Small Forehead Defects from Titanium Mesh Exposure After Cranial Reconstruction. World Neurosurg. 2018;112:e514-e9.