Use of Temporal Muscle Flap in Complicated Defects after Intra-arterial Infusion

Abstract

Temporal muscle flaps are usually used for defects of the upper two thirds of the face and anterior skull base after trauma and cancer surgery. A 75-year-old female had complicated defects after intra-arterial infusion for maxillary cancer. Defects of the external auditory meatus and pre-auricular soft tissues were caused by extravasation of anti-neoplasmic agent. A temporal fascio-musculo-periosteal flap with a free skin graft was used successfully to reconstruct the defects.