The Pedicled Deep Temporalis Muscle Flap in Endoscopic Transorbital Approach: How I Do It.

Dallan, Iacopo; Serioli, Simona; Barucco, Matteo; Di Girolami, Lorena; Corrivetti, Francesco; De Notaris, Matteo; Acerbi, Francesco · Laryngoscope · 2026

case_series · Level IV

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Abstract

Minimally invasive skull base techniques are increasingly adopted for their reduced morbidity and improved cosmetic outcomes. This study presents an endoscopic transorbital approach (TOA) for skull base surgery and introduces a novel reconstruction technique using a pedicled deep temporalis muscle flap. Preclinical and clinical results demonstrate its feasibility, safety, and potential for broader surgical use.

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