Abstract
Objectives
Surgical resection of rhinopharyngeal and anterior skull base tumors is complex, and
the endoscopic endonasal approach is preferred when feasible. The risk of carotid
exposure, dura mater exposure, and osteoradionecrosis necessitates covering these
structures. Local flaps may not always be feasible in certain situations (prior surgeries,
tumor extensions). In such cases, reconstruction using a pedicled temporalis fascia
flap can be considered. The aim of this article is to elucidate, through a video,
the surgical procedure.
Materials and Methods
This involves a video accompanied by anatomical drawings of a 37-year-old patient
with a right-sided recurrent adenoid cystic carcinoma of the rhinopharynx treated
with a right-sided type III rhinopharyngectomy with sphenoid base milling.
Results
The video explicates the key aspects of this surgery, including patient positioning,
flap harvesting, flap passage, and placement in the resection area.
Conclusion
The pedicled temporalis fascia flap represents a reliable alternative for reconstructions
of the rhinopharynx and skull base when local flaps are no longer viable.
Keywords
temporalis flap - endonasal surgery - salvage surgery
