Koranda F C, McMahon M F, Jernstrom V R
Arch Otolaryngol Head Neck Surg. 1987 Jul;113(7):740-3. doi: 10.1001/archotol.1987.01860070054015.
In this series of seven patients, we used the temporalis muscle flap for reconstruction of tongue and floor-of-mouth defects. For intraoral reconstruction, the temporalis muscle flap has advantages over the standard workhorse flap, the pectoralis major. The temporalis muscle flap is far less bulky, more pliable, non-hair bearing, and in closer proximity to the oral cavity. Use of this muscle does not impair mandibular function. The depression that results after the temporalis muscle has been transferred is minimal. Most of this donor area is covered by hair. The only site where the depression can be significant is at the zygomatic arch, where the tunnel into the mouth is formed after removal of the arch. If the arch is wired back into position, this aesthetic detriment is obviated. In gaining exposure of the zygomatic arch, significant traction can be placed on the soft tissues through which the temporal branch of the facial nerve runs. In one patient, a temporal nerve branch paralysis occurred that required a browpexy; in another patient, there was a transient paresis; and in the others, there was no deficit. The temporalis muscle flap is hardy and durable, and has become our mainstay flap for intraoral reconstruction.
在这组7例患者中，我们使用颞肌瓣修复舌及口底缺损。对于口腔内重建，颞肌瓣比标准的常用瓣——胸大肌瓣具有优势。颞肌瓣体积小得多、更柔韧、无毛发生长，且更靠近口腔。使用该肌肉不会损害下颌功能。颞肌转移后产生的凹陷极小。该供区大部分被毛发覆盖。凹陷可能明显的唯一部位是颧弓处，此处去除颧弓后形成通向口腔的隧道。如果将颧弓重新固定到位，这种美学缺陷即可消除。在暴露颧弓时，面神经颞支走行的软组织会受到较大牵拉。1例患者发生颞神经分支麻痹，需要进行提眉手术；另1例患者出现短暂性轻瘫；其他患者未出现功能缺损。颞肌瓣坚韧耐用，已成为我们口腔内重建的主要瓣。
