Pedicled temporoparietal galeal flap for reconstruction of intraoral defects.
OBJECTIVE
In this report we aim to describe the surgical technique required to utilize the pedicled temporoparietal galeal flap for repair of selected intraoral defects and to report our experience with this type of reconstructive procedure.


METHODS
The charts of 6 consecutive patients submitted to reconstruction of intraoral defects using the pedicled temporoparietal galeal flap were reviewed. All of the defects were located in the posterior oral cavity and oropharynx. After resection of the oral cancer, the temporoparietal galeal flap, based on the superficial temporal vessels, was raised and transposed to the mouth through a tunnel under the zygomatic arch. The oral defect was repaired, and no skin graft was applied over the flap.


RESULTS
There were no flap losses, and the reconstructive goal was achieved in all cases. The patients' deglutition and phonation abilities were restored, and the donor site scars were well hidden by hair growth.


CONCLUSIONS
The pedicled temporoparietal galeal flap is another option for selected cases of reconstruction of intraoral defects--mainly those located in the posterior oral cavity and oropharynx, in which thin and pliable tissues are usually required.
Pinto
Fábio Roberto
FR
Department of Head and Neck Surgery, Hospital de Ensino da Faculdade de Medicina do ABC, São Bernardo do Campo, Brazil.
de Magalhães
Roberto Pereira
RP
Capelli
Fábio de Aquino
Fde A
Brandão
Lenine Garcia
LG
Kanda
Jossi Ledo
JL
D000328:Adult; D005205:Fascia / Q000637:transplantation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000601:surgery*; D009367:Neoplasm Staging; D009960:Oropharynx / Q000601:surgery*; D010294:Parietal Bone; D013524:Surgical Flaps; D013701:Temporal Bone; D013703:Temporal Muscle