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Vol. 56. Issue 6.
Pages 257-260 (July 2005)
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Vol. 56. Issue 6.
Pages 257-260 (July 2005)
Colgajo miofascial del músculo temporal: descripción de la técnica y resultados en nuestros pacientes
Temporalis myofascial flap: Technique description and results in our patients
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J.E. Estellés Ferriol*, M. Carrasco Llatas, M.J. Ferrer Ramírez, C. López Mollá, N. Baviera Granel, J. Dalmau Galofre
Servicio de Otorrinolaringología. Hospital Universitario Dr. Peset. Valencia
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Resumen
Introducción

El tratamiento quirúrgico de los tumors de cavidad oral y seno maxilar precisa una reconstrucción del defecto. Es preferible realizarla en un solo tiempo quirúrgico para disminuir la morbilidad del paciente y el coste sanitario. El colgajo miofascial del temporal es muy versátil para la reconstrucción de defectos de cavidad oral, base de cráneo, orbitarios y maxilares.

Material y métodos

Describimos la técnica quirúrgica y presentamos nuestros resultados tras la reconstrucción de defectos tras maxilectomía total o parcial con el colgajo miofascial del músculo temporal en 22 pacientes.

Resultados

No se ha producido la necrosis total en ningún caso y en 4 hubo una pequeña dehiscencia de sutura.

Conclusión

El colgajo miofascial es una opción excelente para la reconstrucción de cavidad oral y seno maxilar.

Palabras clave:
Colgajo miofascial del temporal
Reconstrucción quirúrgica
Abstract
Introduction

Surgical treatment of intraoral and maxillary sinus carcinomas requires a reconstructution of the defect. It is better to do it in one time in order to decrease the morbidity for the patient and the sanitary cost. The temporalis myofascial flap is used for reconstruction of oral cavity, skull base, periorbital region and maxilla because of its feasibility.

Material and methods

We describe the surgical technique and present our results of the reconstructions after total or partial maxillectomy using the temporalis muscle flapin 22 patients.

Results

No total necrosis of the flap was seen in any case, a partial necrosis was seen in four cases.

Conclusion

The temporalis myofascial flap is an excellent choice for oral and maxillary reconstruction.

Key words:
Temporalis myophascial flap
Surgical reconstruction

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