Alonso del Hoyo J, Fernandez Sanroman J, Gil-Diez J L, Diaz Gonzalez F J
Department of Maxillofacial Surgery, La Princesa Hospital, Madrid, Spain.
J Oral Maxillofac Surg. 1994 Feb;52(2):143-7; discussion 147-8. doi: 10.1016/0278-2391(94)90396-4.
This article analyzes the authors' experience with the temporal myofascial flap in orbital, maxillary, floor of the mouth, tongue, retromolar trigone, and buccal mucosa reconstruction after oncologic surgery. Thirty-eight patients were treated and evaluated after using this technique. Four of the patients received the flap to restore orbital defects; the other 34 flaps were used in oral reconstruction. The flap remained viable in all instances. Most of the patients experienced no perioperative complications. Ten patients (29.4%) with flaps transposed to the oral cavity showed partial wound dehiscence. Two patients experienced temporomandibular joint dysfunction, two severe reduction in the oral aperture, 22 had mild depression of the temporal fossa, and four had mild to severe alteration in the facial aesthetics secondary to bone resection. All flaps transposed to the oral cavity showed good epithelialization and adaptation to the recipient site.
本文分析了作者使用颞肌筋膜瓣进行肿瘤切除术后眼眶、上颌、口腔底部、舌、磨牙后三角区及颊黏膜重建的经验。采用该技术治疗并评估了38例患者。其中4例患者接受该瓣修复眼眶缺损；另外34个瓣用于口腔重建。所有病例中瓣均存活。大多数患者无围手术期并发症。10例（29.4%）将瓣转移至口腔的患者出现部分伤口裂开。2例患者出现颞下颌关节功能障碍，2例出现口腔开口严重减小，22例颞窝轻度凹陷，4例因骨切除导致面部美观出现轻度至重度改变。所有转移至口腔的瓣均显示良好的上皮化且能很好地适应受区。
