Combined Technique of Temporal Muscle Augmentation for Muscle Reconstruction in Case of Small to Medium Anatomic Defects.
Journal
The Journal of craniofacial surgery
ISSN: 1536-3732
Titre abrégé: J Craniofac Surg
Pays: United States
ID NLM: 9010410
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
pubmed:
1
7
2020
medline:
12
1
2021
entrez:
1
7
2020
Statut:
ppublish
Résumé
Inadequate temporal muscle (TM) reconstruction after surgery may hesitate in potentially severe functional and aesthetic sequelae, making it of paramount importance to carefully consider TM reconstruction even in case of small deformities.The authors describe the combined temporal muscle augmentation technique (CTMA), an innovative technique for TM augmentation for muscle reconstruction in case of small to medium substance loss.A cadaver study was conducted as preclinical validation of the technique for the assessment of CTMA coverage capability. CTMA consists in a combination of 2 techniques for muscle surface coverage (MSC) increase: the radial (RA) and the longitudinal augmentation (LA), which enables to harvest a radial (RF) and a longitudinal flap (LF), respectively.Each flap derives from a different muscle-bundle, spearing TM segmentation and functional performance, and are supplied by a specific neuro-vascular peduncle, which makes flaps functionally independent.A surgical case is reported to demonstrate the feasibility of the technique.Combined temporal muscle augmentation technique provides an overall coverage surface of 6.5 ± 0.6 cm, which corresponds to a gap distance of 2.5 ± 0.2 cm, with RF providing a statistically significant larger surface of coverage compared to LF (×2.1; P = 0.0001).Combined temporal muscle augmentation technique is easy and fast to perform displaying a good reconstructive capability with complete preservation of temporal muscle anatomic compartmentalization and segmental vasculature. It might be considered as a safe and effective alternative in the reconstruction of small-to medium TM defects.
Identifiants
pubmed: 32604300
doi: 10.1097/SCS.0000000000006702
pii: 00001665-202010000-00019
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1933-1936Références
Gagliardi F, Bailo M, Spina A, et al. Bilateral temporal myofascial flap for the reconstruction of frontal sinus defects. World Neurosurg 2017; 107:477–481.
Gagliardi F, Boari N, Mortini P. Reconstruction techniques in skull base surgery. J Craniofac Surg 2011; 22:1015–1020.
Gagliardi F, Boari N, Piloni M, et al. Temporal galeofascial flap for reconstruction after transmaxillary approaches to the clival region. World Neurosurg 2020; 134:e68–e74.
Gagliardi F, Piloni M, Bailo M, et al. Temporal myofascial segmentation for multilayer reconstruction of middle cranial fossa floor after extradural subtemporal approach to the clival and paraclival region. Head Neck 2019; 41:3631–3638.
Nitzan DW, Azaz B, Constantini S. Severe limitation in mouth opening following transtemporal neurosurgical procedures: diagnosis, treatment, and prevention. J Neurosurg 1992; 76:623–625.
Rocha-Filho PA, Fujarra FJ, Gherpelli JL, et al. The long-term effect of craniotomy on temporalis muscle function. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 104:e17–e21.
Yasuda CL, Costa AL, Franca M Jr, et al. Postcraniotomy temporalis muscle atrophy: a clinical, magnetic resonance imaging volumetry and electromyographic investigation. J Orofac Pain 2010; 24:391–397.
Asemota A, Santiago GF, Zhong S, et al. Comparative cost analysis of single and mutli-stage temporal deformity correction following neurosurgical procedures. J Craniofac Surg 2018; 29:130–138.
Kadri PA, Al-Mefty O. The anatomical basis for surgical preservation of temporal muscle. J Neurosurg 2004; 100:517–522.
Rassi MS, Sorrilha KP, Borba CV. Gagliardi F, Gragnaniello C, Mortini P, Caputy AJ, et al. Techniques of temporal muscle dissection. Thieme, Operative Cranial Neurosurgical Anatomy. New York, NY:2020.
Yasargil MG, Reichman MV, Kubik S. Preservation of the frontotemporal branch of the facial nerve using the interfascial temporalis flap for pterional craniotomy. Technical article. J Neurosurg 1987; 67:463–466.
Horimoto C, Toba T, Yamaga S, et al. Subfascial temporalis dissection preserving the facial nerve in pterional craniotomy--technical note. Neurol Med Chir (Tokyo) 1992; 32:36–37.
Spiriev T, Poulsgaard L, Fugleholm K. Techniques for preservation of the frontotemporal branch of facial nerve during orbitozygomatic approaches. J Neurol Surg B Skull Base 2015; 76:189–194.
Oikawa S, Mizuno M, Muraoka S, et al. Retrograde dissection of the temporalis muscle preventing muscle atrophy for pterional craniotomy. Technical note. J Neurosurg 1996; 84:297–299.
Katsuno M, Uchida K, Matsuno A. A temporofrontal fascia flap that penetrated temporal muscle for the reconstruction of an anterior skull base bone and dura: a technical case report. Br J Neurosurg 2019; 33:272–274.
Park JH, Lee YS, Suh SJ, et al. A simple method for reconstruction of the temporalis muscle using contourable strut plate after pterional craniotomy: introduction of the surgical techniques and analysis of its efficacy. J Cerebrovasc Endovasc Neurosurg 2015; 17:93–100.
Zager EL, DelVecchio DA, Bartlett SP. Temporal muscle microfixation in pterional craniotomies. Technical note. J Neurosurg 1993; 79:946–947.
Brunori A, DiBenedetto A, Chiappetta F. Transosseous reconstruction of temporalis muscle for pterional craniotomy: technical note. Minim Invasive Neurosurg 1997; 40:22–23.
Spetzler RF, Lee KS. Reconstruction of the temporalis muscle for the pterional craniotomy. Technical note. J Neurosurg 1990; 73:636–637.
Zhong S, Huang GJ, Susarla SM, et al. Quantitative analysis of dual-purpose, patient-specific craniofacial implants for correction of temporal deformity. Neurosurgery 2015; 11: (Suppl 2): 220–229. discussion 229.
Gordon CR, Fisher M, Liauw J, et al. Multidisciplinary approach for improved outcomes in secondary cranial reconstruction: introducing the pericranial-onlay cranioplasty technique. Neurosurgery 2014; 10: (Suppl 2): 179–189. discussion 189–190.
Santiago GF, Terner J, Wolff A, et al. Post-neurosurgical temporal deformities: various techniques for correction and associated complications. J Craniofac Surg 2018; 29:1723–1729.