Anchoring the detached temporalis muscle in craniofacial surgery

The temporalis muscle is often detached to enable craniofacial tumour and trauma access surgery. Failure to carefully handle and reattach the muscle often leads to a cosmetic and functional deformity. The authors discuss the principles of elevation of the whole temporal muscle within its surrounding...

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Bibliographic Details
Published in:Journal of cranio-maxillo-facial surgery 1999-08, Vol.27 (4), p.211-213
Main Authors: Webster, Keith, Dover, M. Stephen, Bentley, Robert P.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Biological and medical sciences
Bone Screws
Child
Child, Preschool
Craniotomy - instrumentation
Craniotomy - methods
Dentistry
Facial Bones - surgery
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Infant
Maxillofacial surgery. Dental surgery. Orthodontics
Medical sciences
Middle Aged
Neurosurgery
Skull - surgery
Skull, brain, vascular surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Temporal Muscle - surgery
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Summary:The temporalis muscle is often detached to enable craniofacial tumour and trauma access surgery. Failure to carefully handle and reattach the muscle often leads to a cosmetic and functional deformity. The authors discuss the principles of elevation of the whole temporal muscle within its surrounding fascia to reduce atrophy. The temporalis muscle is then reattached to its point of origin, using suspensory absorbable sutures attached to 3 mm titanium microscrews placed inferior to the limits of the muscle, to make them non-palpable. The aim is to reduce the postoperative temporal hollowing often seen when these principles are not observed. A series of cases using this technique are reported.
ISSN:1010-5182
1878-4119
DOI:10.1016/S1010-5182(99)80031-6