Bilateral Temporal Myofascial Flap for the Reconstruction of Frontal Sinus Defects

World Neurosurg. 2017 Nov;107:477-481. doi: 10.1016/j.wneu.2017.08.022. Epub 2017 Aug 12.


Background: A frontal sinus infection, following a transsinus skull base procedure, portends potentially life-threatening complications, making surgical revision mandatory in refractory infections. The authors describe the application of the bilateral temporal myofascial flap (BTMF) as a valuable option for frontal sinus reconstruction, when pericranial or galeal-frontalis myofascial flap (GFMF) is no longer available.

Methods: A microanatomic laboratory cadaver investigation was conducted to obtain anthropometric measurements. Surgical technique is described, and intraoperative images are provided.

Results: The surgical steps of this technique and the related intraoperative images are reported. One case illustration regarding frontal sinus reconstruction following a postoperative infection, as a complication after a transsinus procedure, is reported.

Conclusion: The BTMF should be considered as a valuable option for frontal sinus reconstruction after transsinus skull base procedures when GFMF is not available.

Keywords: Frontal sinus defects; Galeal-frontalis flap; Skull base reconstruction; Temporal muscle flap; Transfrontal sinus approach.

Publication types

  • Case Reports

MeSH terms

  • Abscess / surgery
  • Aged
  • Anthropometry
  • Cadaver
  • Central Nervous System Vascular Malformations / surgery
  • Frontal Sinus / surgery*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Reoperation
  • Skull Base / surgery
  • Surgical Flaps*
  • Surgical Wound Infection / surgery