RECONSTRUCTION WITH TEMPORAL FLAP ON MAXILLARY DEFECTS POST LATERAL RHINOTOMY AND CHEMORADIATION

Abstract

This case report discusses a 68-year-old male patient with a maxillary defect caused by multiple medial maxillectomy surgeries with lateral rhinotomy (MM-RL) and subsequent chemoradiation for adenoid cystic carcinoma. The patient experienced a recurring defect despite prior local flap reconstructions. A temporal myofascial flap was used for maxillary reconstruction to address functional and aesthetic needs, with minimal impact on chewing and speech. The surgical outcome was positive, with no recurrence or complications over a six-month follow-up period. This case highlights the effectiveness of temporal flap reconstruction for complex maxillary defects, emphasizing the technique’s high vascularity and stability for both functional and cosmetic recovery.