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The temporalis flap is a reconstructive surgical technique commonly employed in oral and maxillofacial surgery to restore soft tissue defects, particularly in cases involving the head and neck region. This flap is derived from the temporalis muscle, located on the side of the head, which plays a crucial role in mastication. A key advantage of the temporalis flap is its reliable blood supply, provided by the superficial temporal artery, which ensures sufficient viability for the tissue once it is mobilized. The procedure begins with an incision in the scalp above the ear, where the temporalis muscle is exposed. The surgeon carefully elevates the muscle along with its overlying fascia, while ensuring that the vascular supply remains intact. Once the flap is prepared, it can be repositioned to cover defects resulting from trauma, tumor resection, or congenital deformities. Additionally, the temporalis flap can be transferred either as a subcutaneous flap or as a myocutaneous flap, depending on the specific needs of the defect. The versatility of this flap makes it an excellent choice for various reconstruction scenarios, including providing coverage for defects in the oral cavity, facial area, or even in areas affected by large tumors. The flap's use is particularly beneficial in patients with limited options for reconstructive procedures, as the temporalis muscle is abundant and can be harvested without significant functional loss. However, some contraindications exist, such as in patients with previous surgeries in the area or conditions leading to compromised blood supply to the temporalis region. Complications associated with the temporalis flap are relatively rare but can include partial flap necrosis, scarring, and alterations in function of the temporalis muscle, such as an impact on chewing or facial aesthetics. The temporalis flap is often considered a workhorse in reconstructive surgery due to its robust nature, ease of harvest, and adaptability, making it a favored choice for surgeons addressing complex soft tissue defects. In conclusion, the temporalis flap represents an effective and reliable option for reconstructive challenges in the maxillofacial region, aiding in the restoration of both form and function in affected patients. Its successful application requires careful planning and execution by the surgical team, who must assess the defect's characteristics and the flap's viability, ensuring optimal outcomes for the individuals undergoing reconstruction. Through advancements in surgical techniques and postoperative care, the adoption of the temporalis flap continues to expand in clinical practice, allowing for enhanced recovery and improved quality of life for patients facing significant reconstructive needs.