𝔖 Bobbio Scriptorium
✦   LIBER   ✦

Temporalis muscle flap for reconstruction of skull base defects

✍ Scribed by Jesse E. Smith; Yadranko Ducic; Robert T. Adelson

Publisher
John Wiley and Sons
Year
2009
Tongue
English
Weight
157 KB
Volume
32
Category
Article
ISSN
1043-3074

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Background.

The temporalis muscle flap (TMF) is a valuable reconstructive technique utilized in a variety of challenging defects. However, its use for repair of skull base defects is less commonly reported.

Methods.

A retrospective chart review was conducted for 35 patients who underwent reconstruction of skull base defects between March 1999 and July 2006 at a tertiary referral hospital. Patients with skull base defects after trauma or extirpative surgery underwent reconstruction with a TMF. The measured outcomes were as follows: defect size/location, need for additional flaps, bone necrosis, hardware exposure, dehiscence, cerebrospinal fluid (CSF) leak, and meningitis.

Results.

Forty‐two patients underwent reconstruction with a TMF, and 35/42 patient records were available for review. No flap failures, 1 transient CSF leak, 3 hardware exposures distant from the temporalis recipient site, and 3 hydroxyapatite cement infections or foreign body reaction were observed.

Conclusion.

The TMF represents a versatile reconstructive technique employed with minimal morbidity and a low complication rate to repair defects of the skull base. Β© 2009 Wiley Periodicals, Inc. Head Neck, 2010

πŸ“œ SIMILAR VOLUMES

Endoscopic pedicled nasoseptal flap reco
Endoscopic pedicled nasoseptal flap reconstruction for pediatric skull base defects
✍ Rupali N. Shah; Joshua B. Surowitz; Mihir R. Patel; Benjamin Y. Huang; Carl H. S πŸ“‚ Article πŸ“… 2009 πŸ› John Wiley and Sons 🌐 English βš– 458 KB

## Abstract ## Objectives/Hypothesis: A prospective study of endoscopic expanded endonasal approaches (EEA) with nasoseptal flap reconstructions revealed anecdotal evidence of less available relative septal length in pediatric patients. Our goal is to use radioanatomic analysis of computed tomogra

Middle turbinate flap for skull base rec
Middle turbinate flap for skull base reconstruction: Cadaveric feasibility study
✍ Daniel M. Prevedello; Juan Barges-Coll; Juan Carlos Fernandez-Miranda; Victor Mo πŸ“‚ Article πŸ“… 2009 πŸ› John Wiley and Sons 🌐 English βš– 354 KB

## Abstract ## Objectives/Hypothesis: Surgical resection of intradural pathology through an endonasal corridor creates defects that communicate the subarachnoid space with the sinonasal tract. Reconstruction of these defects with vascularized tissue is superior to any other method. The purpose of

Pedicled myocutaneous flap of latissimus
Pedicled myocutaneous flap of latissimus dorsi muscle for reconstruction of anterior and middle skull defects: An alternative
✍ Seckel, Brooke R. ;Upton, Joseph ;Freidberg, Stephen R. ;Gilbert, Kenneth P. ;Mu πŸ“‚ Article πŸ“… 1986 πŸ› Wiley (John Wiley & Sons) βš– 406 KB

Three cases are presented demonstrating the use of a pedicled myocutaneous flap of latissimus dorsi muscle to reconstruct large defects of the anterior and middle skull after ablative surgery for carcinoma. This method is proposed as an alternative to reconstruction with a free myocutaneous flap in

Anterior pedicle lateral nasal wall flap
Anterior pedicle lateral nasal wall flap: A novel technique for the reconstruction of anterior skull base defects
✍ Gustavo Hadad; Carlos M. Rivera-Serrano; Luis H. Bassagaisteguy; Ricardo L Carra πŸ“‚ Article πŸ“… 2011 πŸ› John Wiley and Sons 🌐 English βš– 393 KB πŸ‘ 1 views

## Abstract ## Objectives: Expansion of the clinical indications for ablative endoscopic endonasal approaches has behooved us to search for new reconstruction alternatives. We present the anatomic foundations of a novel anterior pedicled lateral wall flap (Hadad‐Bassagaisteguy 2 or HB2 flap) for t