{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:30:29Z","timestamp":1786728629096,"version":"build-2736575974"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The temporalis myofascial flap (TMF) is a reliable option for midfacial defect reconstruction, benefiting from robust vascularisation and anatomical proximity. However, its use in palatal defect coverage has been limited by the presence of dentition. This article describes a novel TMF transposition technique through a trans-antral pathway, with immediate correction of temporal contour deformity with a titanium mesh. A case of type 2A maxillectomy in a fully dentate patient with a malignant neoplasm shows the technique\u2019s feasibility. Key steps include raising the TMF via a hemicoronal approach, rotating it beneath the zygomatic arch, and then through an anterolateral maxillary bone window to reach the palatal vault. The bone window is then reshaped and fixated with plates and screws, and a titanium mesh is contoured to restore the temporal contour. The procedure was completed without complications. The TMF successfully covered the palatal defect, providing a stable foundation for mucosal regeneration. The titanium mesh corrected the temporal depression, restoring soft-tissue contour. Post-operative recovery was uneventful, and no functional or cosmetic deficits were observed. The trans-antral TMF technique is a reliable, single-stage method for palatal defect reconstruction, even in fully dentate patients. This approach is a viable option when microvascular reconstruction is contraindicated or unavailable, offering vascular reliability, minimal donor-site morbidity and reduced operative complexity.<\/jats:p>","DOI":"10.4103\/ams.ams_45_25","type":"journal-article","created":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T05:00:50Z","timestamp":1778734850000},"page":"109-112","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Trans-antral Temporal Flap to Reconstruct Palatal Defects in Dentate Patients - A Technical Note"],"prefix":"10.4103","volume":"16","author":[{"given":"Federica","family":"Sobrero","sequence":"first","affiliation":[{"name":"Division of Maxillofacial Surgery, Citt\u00e0 della Salute e della Scienza Hospital, University of Turin, Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo Enrique Mejia","family":"Paz","sequence":"additional","affiliation":[{"name":"Division of Maxillofacial Surgery, Department of Surgery, Fundaci\u00f3n Ruth Paz, San Pedro Sula, Honduras, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1lvaro","family":"Sada-Malumbres","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Hospital Universitario La Paz, M\u00f3stoles, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N\u00e9stor","family":"Montesdeoca-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, MD Anderson Cancer Center, M\u00f3stoles, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo Olavarria","family":"Montes","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Hospital Universitario Rey Juan Carlos, M\u00f3stoles, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Luis Cebri\u00e1n","family":"Carretero","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Hospital Universitario La Paz, M\u00f3stoles, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,5,13]]},"reference":[{"key":"R1-20260703","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1016\/j.asjsur.2024.08.245","article-title":"The utility and outcomes of the temporalis muscle flap for palate reconstruction after maxillectomy for malignancy","volume":"48","author":"Abdelrahman","year":"2024","journal-title":"Asian J Surg"},{"key":"R2-20260703","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1080\/00016489.2017.1300833","article-title":"The modified temporalis muscle flap in reconstruction of palate and temporal 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Arch Otorhinolaryngol"},{"key":"R9-20260703","doi-asserted-by":"crossref","first-page":"1001","DOI":"10.1016\/S1470-2045(10)70113-3","article-title":"Reconstruction of the maxilla and midface: Introducing a new classification","volume":"11","author":"Brown","year":"2010","journal-title":"Lancet Oncol"},{"key":"R10-20260703","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1055\/s-0034-1399798","article-title":"Le fort I approach for midline tumors of the palate","volume":"8","author":"de Cevallos","year":"2015","journal-title":"Craniomaxillofac Trauma Reconstr"},{"key":"R11-20260703","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1111\/j.1834-7819.1997.tb00135.x","article-title":"Trans-antral temporalis transfer for the repair of adult cleft palates","volume":"42","author":"Arvier","year":"1997","journal-title":"Aust Dent J"},{"key":"R13-20260703","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/S0901-5027(05)80443-6","article-title":"The temporal muscle flap for closure of large palatal defects in CLP patients","volume":"21","author":"van der Wal","year":"1992","journal-title":"Int J Oral Maxillofac Surg"},{"key":"R14-20260703","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1055\/s-0028-1114300","article-title":"Titanium mesh reconstruction to maintain scalp contour after temporalis musculofascial flap reconstruction of the floor of the middle cranial fossa: A technical note and report of two cases","volume":"19","author":"Lipira","year":"2009","journal-title":"Skull Base"}],"container-title":["Annals of Maxillofacial 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