Temporalis Muscle Rotation to Reconstruct the Palatal Defect Following Maxillectomy in a Three Months Old Infant

Devaraja K, Kapil Sikka, Alok Thakar and Rachna Seth

Department of Otorhinolaryngology, All India Institute of Medical Sciences, India

^*Correspondance to: Kapil Sikka 

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Abstract:

Background: Rehabilitation following maxillectomy has been a challenging aspect of surgical management of sinonasal pathology. In here, we are reporting a novel technique of successful rehabilitation of maxillectomy defect in a three months old infant in which neither obturator nor could free flap have been useful for closure of the palatal defect.Case Report: Three months old male infant with Melanotic Neurectodermal tumor of infancy of maxilla underwent maxillectomy with excision of tumor and the resultant palatal defect was closed primarily by rotation of mobilised temporalis muscle flap. Infant had uneventful and early functional recovery with resumption of oral feeds on day four.Conclusion: Temporalis muscle flap is a novel and promising technique for reconstruction after maxillectomy, with advantages of early oral feeding. In addition, it may reduce the risk of recurrence by enabling radical excision, which otherwise would not have been possible without reliable rehabilitation.

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Cite the Article:

Devaraja K, Sikka K, Thakar A, Seth R. Temporalis Muscle Rotation to Reconstruct the Palatal Defect Following Maxillectomy in a Three Months Old Infant. Ann Clin Case Rep. 2017; 2: 1248.