Hüttenbrink K B
HNO-Univ.-Klinik Münster.
Laryngorhinootologie. 1989 May;68(5):272-7.
The temporalis muscle flap has proved its usefulness in the reconstruction of extensive oropharyngeal defects in the last 4 years in 26 patients. Although the functional qualities of the reconstructed area are not as superb as jejunal mucosa, due to a certain fibrosis of the muscle-fascia flap, much less surgical effort is required with this flap, since it is situated in the vicinity of the defect. Moreover, its short vascular pedicle guarantees the safe taking of the flap. The cosmetic alteration caused by the flattening of the temporal fossa is considerably attenuated with the replantation of the zygomatic arch. Especially in the multimorbide oropharyngeal cancer patient, the temporalis muscle flap with its reasonable surgical effort and its reliability represents a valuable alternative in the reconstruction of extensive defects.
在过去4年里，颞肌瓣已在26例患者广泛口咽缺损的重建中证明了其效用。尽管重建区域的功能特性不如空肠黏膜那般卓越，由于肌筋膜瓣存在一定程度的纤维化，使用该瓣所需的手术操作要少得多，因为它位于缺损附近。此外，其短血管蒂确保了瓣的安全切取。通过颧弓再植，颞窝变平所引起的外观改变可显著减轻。特别是在患有多种疾病的口咽癌患者中，颞肌瓣因其合理的手术操作和可靠性，在广泛缺损的重建中是一种有价值的选择。
