Temporalis Muscle Flap In Midfacial Region Defects

The maxillofacial form, oral competence and functions are the major aspects for the patients to meet the social needs after maxillectomies. With thorough knowledge of the anatomy of the various flaps and their applications, one can be more precise in the resection of tumors, leaving open the possibility of a primary closure of the defect and early rehabilitation. A variety of reconstruction techniques are being used to repair midfacial defects including skin grafts, local and regional flaps, as well as free-tissue transfer, but each of these techniques has its rewards and limitations. Reconstruction for the bony component of midfacial defects range from the use of soft-tissue alone to vascularized bone. The muscle provides a large amount of well vascularized soft tissue, with minimal donor site morbidity [1]. Temporalis muscle flap holds immense potential for the reconstruction of different maxillofacial defects [1]. Both its anatomical proximity to the midfacial region and to its easy transfer make this flap an excellent choice for reconstruction following the resection of midfacial tumors [2].