Issue N# 4 - 2009
HEAD AND NECK CARCINOLOGY
The pedicle superficial temporalis fascial flap in oncologic reconstructive surgery of the oral cavity: How we do it and its functional results
Authors : Pons Y, Gauthier J, Pons-Ukkola E, Clément P, Conessa C. (Paris)
Ref. : Rev Laryngol Otol Rhinol. 2009;130,4:221-224.
Article published in english
Downloadable PDF document english
Objective: The authors described how they perform a pedicle superficial temporalis fascial flap in oncologic reconstructive surgery of the oral cavity and evaluated its functional results. Study design: A prospective study was performed in an university hospital from September 2001 to July 2007. Subjects and methods: Nine male patients underwent a pedicle superficial temporalis fascial flap to repair a soft tissue loss in the oral cavity following a tumour extraction (seven cases) or to repair osteoradionecrosis (two cases). Results: Twelve months after the intervention, a correct functional state was restored in seven out of nine cases and the anatomical congruence was correct in eight out of nine cases. Conclusion: The pedicle superficial temporalis fascial flap can be useful in the reconstruction of the oral cavity, especially for patients who underwent radiotherapy. This flap was shown to be reliable, with acceptable post-operative complications, though it requires surgical experience. It is of interest for posterior and/or superior oral cavity reconstruction because the flap length, which is considerably reduced by its arc of rotation and by its path near the zygomatic process, does not allow for reconstruction of the anterior floor of the mouth. Because this flap is thin, only moderate soft tissue loss can be repaired.
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