A Single-Stage Reconstruction of Maxillectomy Defects with Temporalis Muscle Flap—Revisiting the Past
Abstract Oncological resections involving the maxillofacial unit are aggressive and functionally mutilating. The inherently complex maxillary defects pose a reconstructive challenge. The reconstructive options described vary from regional soft tissue to free or combinations of soft tissue flaps and...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Kaul, Pallvi [verfasserIn] Singh, Mahendra Pal [verfasserIn] Poonia, Dharma Ram [verfasserIn] Jat, Bhinya Ram [verfasserIn] Seenivasagam, Rajkumar Kottayasamy [verfasserIn] Agarwal, Satya Prakash [verfasserIn] Garg, Pankaj Kumar [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2020 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: Indian Journal of Surgery - Springer-Verlag, 2007, 83(2020), 1 vom: 12. Mai, Seite 107-113 |
|---|---|
| Übergeordnetes Werk: |
volume:83 ; year:2020 ; number:1 ; day:12 ; month:05 ; pages:107-113 |
| Links: |
|---|
| DOI / URN: |
10.1007/s12262-020-02319-3 |
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SPR043628435 |
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| 520 | |a Abstract Oncological resections involving the maxillofacial unit are aggressive and functionally mutilating. The inherently complex maxillary defects pose a reconstructive challenge. The reconstructive options described vary from regional soft tissue to free or combinations of soft tissue flaps and alloplastic implants. The temporalis myofascial flap is a versatile flap for reconstruction of maxillofacial defects. Due to its robust vascularity, adequate bulk, proximity to the defects, and minimal donor-site morbidity, it remains a popular choice of reconstruction for a contemporary surgeon. A retrospective analysis of nine patients undergoing a single-stage temporalis myofascial flap reconstruction following maxillectomy was performed to determine its utility, post-operative complications, and its impact on quality of life. The patients undergoing surgery had tumours involving maxillary alveolar–buccal complex (four), maxillary antrum (three), and hard palate (two). The histological types of the tumour were squamous cell carcinoma (six), adenocarcinoma (one), adenoid cystic carcinoma (one), and undifferentiated pleomorphic sarcoma (one). Post-surgical defects reconstructed with this flap included infrastructure maxillectomy (one), subtotal maxillectomy (one), total maxillectomy (five), and extended total maxillectomy (two). None of the flaps failed in any patient (flap survival rate of 100%); one patient had minimal dehiscence which was managed conservatively. No significant speech and swallowing-related issues were reported by any of the patients. Aesthetic expectations were met in most of the patients. | ||
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10.1007/s12262-020-02319-3 doi (DE-627)SPR043628435 (DE-599)SPRs12262-020-02319-3-e (SPR)s12262-020-02319-3-e DE-627 ger DE-627 rakwb eng Kaul, Pallvi verfasserin aut A Single-Stage Reconstruction of Maxillectomy Defects with Temporalis Muscle Flap—Revisiting the Past 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Oncological resections involving the maxillofacial unit are aggressive and functionally mutilating. The inherently complex maxillary defects pose a reconstructive challenge. The reconstructive options described vary from regional soft tissue to free or combinations of soft tissue flaps and alloplastic implants. The temporalis myofascial flap is a versatile flap for reconstruction of maxillofacial defects. Due to its robust vascularity, adequate bulk, proximity to the defects, and minimal donor-site morbidity, it remains a popular choice of reconstruction for a contemporary surgeon. A retrospective analysis of nine patients undergoing a single-stage temporalis myofascial flap reconstruction following maxillectomy was performed to determine its utility, post-operative complications, and its impact on quality of life. The patients undergoing surgery had tumours involving maxillary alveolar–buccal complex (four), maxillary antrum (three), and hard palate (two). The histological types of the tumour were squamous cell carcinoma (six), adenocarcinoma (one), adenoid cystic carcinoma (one), and undifferentiated pleomorphic sarcoma (one). Post-surgical defects reconstructed with this flap included infrastructure maxillectomy (one), subtotal maxillectomy (one), total maxillectomy (five), and extended total maxillectomy (two). None of the flaps failed in any patient (flap survival rate of 100%); one patient had minimal dehiscence which was managed conservatively. No significant speech and swallowing-related issues were reported by any of the patients. Aesthetic expectations were met in most of the patients. Maxillectomy (dpeaa)DE-He213 Temporalis myofascial flap (dpeaa)DE-He213 EORTC (dpeaa)DE-He213 Quality of life (dpeaa)DE-He213 Singh, Mahendra Pal verfasserin aut Poonia, Dharma Ram verfasserin aut Jat, Bhinya Ram verfasserin aut Seenivasagam, Rajkumar Kottayasamy verfasserin aut Agarwal, Satya Prakash verfasserin aut Garg, Pankaj Kumar verfasserin aut Enthalten in Indian Journal of Surgery Springer-Verlag, 2007 83(2020), 1 vom: 12. Mai, Seite 107-113 (DE-627)SPR024596493 nnns volume:83 year:2020 number:1 day:12 month:05 pages:107-113 https://dx.doi.org/10.1007/s12262-020-02319-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 83 2020 1 12 05 107-113 |
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A Single-Stage Reconstruction of Maxillectomy Defects with Temporalis Muscle Flap—Revisiting the Past Maxillectomy (dpeaa)DE-He213 Temporalis myofascial flap (dpeaa)DE-He213 EORTC (dpeaa)DE-He213 Quality of life (dpeaa)DE-He213 |
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A Single-Stage Reconstruction of Maxillectomy Defects with Temporalis Muscle Flap—Revisiting the Past |
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A Single-Stage Reconstruction of Maxillectomy Defects with Temporalis Muscle Flap—Revisiting the Past |
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Kaul, Pallvi |
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Indian Journal of Surgery |
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2020 |
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Kaul, Pallvi Singh, Mahendra Pal Poonia, Dharma Ram Jat, Bhinya Ram Seenivasagam, Rajkumar Kottayasamy Agarwal, Satya Prakash Garg, Pankaj Kumar |
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Kaul, Pallvi |
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single-stage reconstruction of maxillectomy defects with temporalis muscle flap—revisiting the past |
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A Single-Stage Reconstruction of Maxillectomy Defects with Temporalis Muscle Flap—Revisiting the Past |
| abstract |
Abstract Oncological resections involving the maxillofacial unit are aggressive and functionally mutilating. The inherently complex maxillary defects pose a reconstructive challenge. The reconstructive options described vary from regional soft tissue to free or combinations of soft tissue flaps and alloplastic implants. The temporalis myofascial flap is a versatile flap for reconstruction of maxillofacial defects. Due to its robust vascularity, adequate bulk, proximity to the defects, and minimal donor-site morbidity, it remains a popular choice of reconstruction for a contemporary surgeon. A retrospective analysis of nine patients undergoing a single-stage temporalis myofascial flap reconstruction following maxillectomy was performed to determine its utility, post-operative complications, and its impact on quality of life. The patients undergoing surgery had tumours involving maxillary alveolar–buccal complex (four), maxillary antrum (three), and hard palate (two). The histological types of the tumour were squamous cell carcinoma (six), adenocarcinoma (one), adenoid cystic carcinoma (one), and undifferentiated pleomorphic sarcoma (one). Post-surgical defects reconstructed with this flap included infrastructure maxillectomy (one), subtotal maxillectomy (one), total maxillectomy (five), and extended total maxillectomy (two). None of the flaps failed in any patient (flap survival rate of 100%); one patient had minimal dehiscence which was managed conservatively. No significant speech and swallowing-related issues were reported by any of the patients. Aesthetic expectations were met in most of the patients. |
| abstractGer |
Abstract Oncological resections involving the maxillofacial unit are aggressive and functionally mutilating. The inherently complex maxillary defects pose a reconstructive challenge. The reconstructive options described vary from regional soft tissue to free or combinations of soft tissue flaps and alloplastic implants. The temporalis myofascial flap is a versatile flap for reconstruction of maxillofacial defects. Due to its robust vascularity, adequate bulk, proximity to the defects, and minimal donor-site morbidity, it remains a popular choice of reconstruction for a contemporary surgeon. A retrospective analysis of nine patients undergoing a single-stage temporalis myofascial flap reconstruction following maxillectomy was performed to determine its utility, post-operative complications, and its impact on quality of life. The patients undergoing surgery had tumours involving maxillary alveolar–buccal complex (four), maxillary antrum (three), and hard palate (two). The histological types of the tumour were squamous cell carcinoma (six), adenocarcinoma (one), adenoid cystic carcinoma (one), and undifferentiated pleomorphic sarcoma (one). Post-surgical defects reconstructed with this flap included infrastructure maxillectomy (one), subtotal maxillectomy (one), total maxillectomy (five), and extended total maxillectomy (two). None of the flaps failed in any patient (flap survival rate of 100%); one patient had minimal dehiscence which was managed conservatively. No significant speech and swallowing-related issues were reported by any of the patients. Aesthetic expectations were met in most of the patients. |
| abstract_unstemmed |
Abstract Oncological resections involving the maxillofacial unit are aggressive and functionally mutilating. The inherently complex maxillary defects pose a reconstructive challenge. The reconstructive options described vary from regional soft tissue to free or combinations of soft tissue flaps and alloplastic implants. The temporalis myofascial flap is a versatile flap for reconstruction of maxillofacial defects. Due to its robust vascularity, adequate bulk, proximity to the defects, and minimal donor-site morbidity, it remains a popular choice of reconstruction for a contemporary surgeon. A retrospective analysis of nine patients undergoing a single-stage temporalis myofascial flap reconstruction following maxillectomy was performed to determine its utility, post-operative complications, and its impact on quality of life. The patients undergoing surgery had tumours involving maxillary alveolar–buccal complex (four), maxillary antrum (three), and hard palate (two). The histological types of the tumour were squamous cell carcinoma (six), adenocarcinoma (one), adenoid cystic carcinoma (one), and undifferentiated pleomorphic sarcoma (one). Post-surgical defects reconstructed with this flap included infrastructure maxillectomy (one), subtotal maxillectomy (one), total maxillectomy (five), and extended total maxillectomy (two). None of the flaps failed in any patient (flap survival rate of 100%); one patient had minimal dehiscence which was managed conservatively. No significant speech and swallowing-related issues were reported by any of the patients. Aesthetic expectations were met in most of the patients. |
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A Single-Stage Reconstruction of Maxillectomy Defects with Temporalis Muscle Flap—Revisiting the Past |
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