Article publié par Dr Kamardine Ahmed Djae

Article de recherche Clinique publie dans le journal international de

chirurgie orale et maxillofaciale

International Journal of Oral and Maxillofacial Surgery

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doi:10.1016/j.ijom.2011.03.006 | How to Cite or Link Using DOI

Copyright © 2011 Published by Elsevier Ltd.

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Clinical Paper

Temporalis muscle flap for immediate reconstruction of maxillary defects: Review of 39

cases

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K. Ahmed Djae1, Z. Li2 and Z-B. Li1, ,

1 Department of Oral and Maxillofacial surgery, School and Hospital of Stomatology,

Wuhan University, China

2 Laboratory of basic science of Stomatology (Hubei-MOST) and key laboratory of oral

Biomedicine; School and Hospital of Stomatology, Wuhan University, China

Received 23 October 2009. Available online 7 May 2011.

Abstract

This study evaluated the advantages and complications associated with immediate

reconstruction of maxillary defects after maxillectomy and the relationship between

defect tissues classification and postoperative results after using the temporalis muscle

flap. In this retrospective study, the records of 39 patients who underwent immediate

reconstruction surgery using temparolis myofascial flap following maxillectomy from

April 1989 to February 2009 were reviewed. Demographic data, features of the disease,

follow-up, outcome and complications were analysed. Patients were classified into three

groups, to ascertain the influence between defect classification and functional results,

aesthetic outcomes and complications in each group. Of the 39 cases, all tissue flaps

survived. 5 patients underwent postoperative radiotherapy, which did not seem to

influence the outcome of the reconstructive procedure. There was one case of oroantral

fistula, which could easily be obturated with the prosthesis. One patient developed

haematoma in the donor site 5 days after surgery. Postoperative speech was good, facial

appearance was normal and ocular function remained unchanged. Postoperative aesthetic

and functional results were satisfying. The temporalis muscle flap can be considered as a

first-line reconstructive option for maxillary defects. Acceptable functional and aesthetic

outcomes can be expected in high rates.

Keywords: temporalis muscle flap; immediate reconstruction; maxilla defects

Abbreviations: TMF, temporalis muscle flap; APOFC, abnormal post-operative facial

appearance; IPOFC, insufficient post-operative swallowing; US, unintelligible speech;

OFC, ocular function changed; OAONF, oroantral/oronasal fistula; PTTL, partial/total

transplant loss; URT, underwent a radiotherapy .

Dr Kamardine Ahmed Djae DDS, MD

Oral and maxillofacial Surgeon

Clinical researcher

Department of Oral and Maxillofacial surgery, School and Hospital of Stomatology,

Wuhan University. China