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IP Indian Journal of Anatomy and Surgery of Head, Neck and Brain

Can the temperoparietal fascia flap be an alternative for Radial forearm free flap for large defects of the buccal mucosa after ablative surgery for oral cancer?? A Case Report

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Author Details: Himanshu Sharma, A. Mohamed Iliyas, Rinku George, Shankar Raja

Volume : 1

Issue : 1

Online ISSN : 2581-5229

Print ISSN : 2581-5210

Article First Page : 36

Article End Page : 40


The use of temporoparietal fascia as a flap for intra oral defects is a simple and effective alternative among other local flaps like buccal fat of pad, nasolabial flap, palatal flap, forehead flap and sternocleidomastoid muscle flap. Instead of using more complex free flaps like the Radial forearm free flap, this flap can be considered as an alternative.
Modified preauricular incision was used to harvest the graft and was tunneled through zygomatic arch to reach the defect site, defect site showed satisfactory healing with reduced morbidity with no significant complication. The temporoparietal fascia flap proved to be useful alternative for surgeons for reconstruction of buccal mucosa defects with minimal morbidity. It can definitely replace the radial forearm free flap in most instances.
In this article we report the use of temporoparietal fascia flap to reconstruct the buccal mucosa defects.

Keyword: Temporoparietal fascia flap, radial forearm free flap, oral cancer, buccal mucosa