{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T13:10:48Z","timestamp":1789650648254,"version":"4.0.0"},"reference-count":23,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,9,7]],"date-time":"2025-09-07T00:00:00Z","timestamp":1757203200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,9,7]],"date-time":"2025-09-07T00:00:00Z","timestamp":1757203200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Anatomy"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>There are no standardized guidelines for reconstructive surgery of large temporal bone defects following lateral temporal bone resection for external auditory (acoustic) meatus carcinoma. Filling the defect with well\u2010vascularized tissue is important for large tissue defects to promote wound healing and prevent infection postoperatively. Patients with malignant tumors of the external acoustic meatus requiring lateral temporal bone resection may sometimes necessitate postoperative adjuvant chemoradiotherapy. Therefore, it is essential to facilitate wound healing and initiate adjuvant therapy promptly after surgery. Moreover, to prevent complications such as osteonecrosis after radiotherapy, filling the defect with well\u2010vascularized tissue is particularly important. Reconstructing a large temporal bone defect using the temporalis muscle following lateral temporal bone resection requires several surgical tips based on anatomical knowledge. However, no previous reports have described these techniques in detail. In this report, we highlight that the creation of an effective temporalis muscle flap for large temporal bone defects after lateral temporal bone resection requires cutting the deep layer of the temporalis fascia and the pericranium, as well as the separation of tendinous structures within the temporalis muscle. In this report, based on the microsurgical anatomy of the temporalis muscle, we present an effective method for creating a reliable temporalis muscle flap for reconstructive surgery.<\/jats:p>","DOI":"10.1002\/ca.70029","type":"journal-article","created":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T10:35:07Z","timestamp":1757327707000},"page":"768-775","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Temporalis Muscle Flap for Reconstruction Following Lateral Temporal Bone Resection: Anatomical Study and Technical Note"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9521-9878","authenticated-orcid":false,"given":"Noritaka","family":"Komune","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Graduate School of Medical Sciences Kyushu University  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seita","family":"Fukushima","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Kyushu University Hospital  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chikafumi","family":"Oryouji","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Kyushu University Hospital  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8502-7952","authenticated-orcid":false,"given":"Joe","family":"Iwanaga","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tulane Center for Clinical Neurosciences Tulane University School of Medicine  New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideki","family":"Kadota","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Kyushu University Hospital  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. Shane","family":"Tubbs","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tulane Center for Clinical Neurosciences Tulane University School of Medicine  New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Nakagawa","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Graduate School of Medical Sciences Kyushu University  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,7]]},"reference":[{"issue":"3","key":"e_1_2_7_2_1","first-page":"179","article-title":"The Temporalis Muscle Flap for Head and Neck Reconstruction","volume":"16","author":"Birt B. 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