A novel approach to immediate restoration of the cosmetic deformity after regional temporalis flap reconstruction of a maxillary defect: a case report.

Restoration of large maxillary defects can be achieved by using various muscle and bone flap transfers. Free muscle and bone transfer has become the reconstruction standard because it offers a combination of bone and soft tissues, which allows primary closure of the defect and secondary placement of dental implants for a full rehabilitation approach. If free tissue transfer is not a viable option, regional flaps such as temporalis muscle offer a viable alternative. This report presents a novel approach to immediate reconstruction of temporalis defects after muscle transfer to repair a maxillary defect. A custom-made titanium onlay was constructed preoperatively using a three-dimensional model of the patient to restore the absent muscle contour. The implant was placed at the same time as the muscle transfer. A good cosmetic outcome was achieved, and no postoperative complications were reported.