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Reverse temporalis muscle flap: In treatment of large cranial base defect with direct intracranial-nasopharyngeal communication

Authors
 Yong Oock Kim  ;  Beyoung Yun Park 
Citation
 PLASTIC AND RECONSTRUCTIVE SURGERY, Vol.96(3) : 576-584, 1995-09 
Journal Title
PLASTIC AND RECONSTRUCTIVE SURGERY
ISSN
 0032-1052 
Issue Date
1995-09
MeSH
Adult ; Female ; Frontal Bone / injuries ; Frontal Bone / surgery* ; Frontal Sinus / surgery* ; Frontal Sinusitis / surgery ; Humans ; Male ; Middle Aged ; Skull Fractures / surgery ; Surgical Flaps / methods*
Abstract
Inadequately managed frontal sinus fracture or sinusitis can pose a major problem of intracranial-nasopharyngeal communication. Life-threatening ascending infection of the intracranium is inevitable unless the intracranium is separated from the nasopharynx. In five patients with frontal bone defect associated with direct intracranial-nasopharyngeal communication, the authors used reverse temporalis muscle flap based on the superficial temporal vessels to obliterate the nasocranial communication. With the authors' method, the nasocranial communication were sealed off permanently, and the ascending infection from intracranial-nasopharyngeal communication was controlled successfully. The reverse temporalis muscle flap, which survives by reversed arterial flow through the vascular connection, exists between the superficial temporal artery and the deep temporal artery in the region of temporalis muscle origin. The reverse temporalis muscle flap is versatile and is recommended especially when other local flaps are not available to obliterate the nasocranial communication.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=ovft&AN=00006534-199509000-00009&PDF=y
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
Park, Beyoung Yun(박병윤)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/186248
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