Indian Journal of Plastic Surgery
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 IDEAS AND INNOVATIONS
Year : 2011  |  Volume : 44  |  Issue : 3  |  Page : 501--504

Chimeric superficial temporal artery based skin and temporal fascia flap plus temporalis muscle flap - An alternative to free flap for suprastructure maxillectomy with external skin defect


Plastic and Reconstructive Services, Department of Surgical Oncology, TATA Memorial Hospital, Parel, Mumbai, India

Correspondence Address:
S R Sakthipalan Selva
Department of Plastic and Reconstructive Services, Room No. 29/30 Main Building, TATA Memorial Hospital, Parel, Mumbai - 400 012
India
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DOI: 10.4103/0970-0358.90839

PMID: 22279290

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Flaps from temporal region have been used for mid face, orbital and peri-orbital reconstruction. The knowledge of the vascular anatomy of the region helps to dissect and harvest the muscle/fascia/skin/combined tissue flaps from that region depending upon the requirement. Suprastructure maxillectomy defects are usually covered with free flaps to fill the cavity. Here we report an innovative idea in which a patient with a supra structure maxillectomy with external skin defect was covered with chimeric flap based on the parietal and frontal branches of superficial temporal artery and the temporalis muscle flap based on deep temporal artery.






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