Use of the temporalis muscule flap in blanking out orbits.
We report the use of the temporalis muscle as a transposition flap to obliterate the orbit in 5 patients. In 4 of the cases we split the muscle coronally and passed the anterior part through a window in the lateral orbital wall. In two of these patients, skin grafts were put on both sides of the temporalis muscle-fascia flap, to restore nasal lining and to cover the facial surface simultaneously. In the remaining patients, the muscle was split sagittally to provide a large surface for coverage. The temporalis muscle flap is a versatile one for filling orbits after exenteration.
D000328:Adult; D000368:Aged; D002058:Burns, Electric / Q000601:surgery; D002280:Basal Cell Carcinoma / Q000601:surgery; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009132:Muscles / Q000098:blood supply / Q000294:innervation / Q000637:transplantation*; D009915:Orbit / Q000293:injuries / Q000601:surgery*; D009918:Orbital Neoplasms / Q000601:surgery; D012208:Rhabdomyosarcoma / Q000601:surgery; D016038:Skin Transplantation; D013518:Surgery, Plastic / Q000379:methods*; D014948:Wounds, Gunshot / Q000601:surgery