Reconstruction with temporalis muscle flap after total maxillectomy with orbital exenteration for resection of an extensive maxillary antral squamous cell carcinoma

Sub-title
AuthorsJ Cutajar
M Grima
AbstractThis is a case report of a 62-year old male who presented with a one month history of left sided facial pain and occasional epistaxis. Subsequently, he was diagnosed with a squamous cell carcinoma (SCC) of the left maxillary antrum, with involvement of the hard palate, orbital floor periosteum, medial and inferior rectus muscles, left ethmoid complex and left infratemporal fossa. This tumour was staged as T4, N0, M0. A total maxillectomy with orbital exenteration were performed for surgical resection of the tumour, and using the left temporalis muscle, a flap was fashioned for the reconstruction of the facial defect. This flap represented a good solution for reconstruction as it provided copious, well-vascularised tissue for the obliteration of the total maxillectomy and orbital exenteration cavities. Temporalis muscle flap is considered a very reliable technique with low complication rates and few donor site problems, making it a safe and technically easy flap, which is preferred for the reconstruction of craniofacial defects after resective tumour surgery.

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JournalMalta Medical Journal
Volume15 Issue 1-2/suppl. 2003
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Date
Link to journal

Key wordscase report, reconstruction, temporalis, maxillectomy

Compiled by: Dr. I. Stabile    Dr. J. Pace