Abstract
Background
One of the management modalities of temporomandibular joint ankylosis is interpositional gap arthroplasty. The most commonly used interpositioning material is temporalis myofascial flap owing to its close proximity to operating site. However, sometimes this flap becomes insufficient in terms of length. Hence, we propose a technique of temporalis myofascial flap lengthening.
Technique
The technique described in the manuscript increases the length of the flap by 1½-fold. This increases the reach of the flap till the medial aspect of the created gap avoiding bone-to-bone contact during movement of the jaw.
Conclusion
This technique can be easily and effectively used to ensure proper interpositioning during management of temporomandibular joint ankylosis to avoid recurrence.
References
Majmudar A, Bainton R (2004) Suture of temporalis fascia and muscle flaps in temporomandibular joint surgery. Br J Oral Maxillofac Surg 42:357
Burggasser G, Happak W, Gruber H, Freilinger G (2002) The temporalis: blood supply and innervation. Plast Reconstr Surg 109(6):1862–1869
Omura S, Fujita K (1996) Modification of the temporalis muscle and fascia flap for the management of ankylosis of the temporomandibular joint. J Oral Maxillofac Surg 54(6):794–795
Rai A, Jain A, Nagarkar N, Khan M (2018) Use of Kerrison Rongeur for safe and effective removal of bone in temporomandibular joint ankylosis. Oral Maxillofac Surg 22(1):115–116
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Jain, A., Rai, A. Modified Temporalis Myofascial Flap for Management of Temporomandibular Joint Ankylosis: JAIN Technique. J. Maxillofac. Oral Surg. 21, 290–292 (2022). https://doi.org/10.1007/s12663-020-01388-x
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DOI: https://doi.org/10.1007/s12663-020-01388-x