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February 28, 2026Oral and Maxillofacial Surgery0 citationsOpen Access

Pedicled myofascial temporalis flap for closure of large maxillary defects after medication-related osteonecrosis of the jaws. A case series

SASanne Werner Moeller AndersenLDLiezl DawsonIPI. Poulsen

Key Points

  • To evaluate the effectiveness of using a pedicled myofascial temporalis flap for closing large maxillary defects resulting from medication-related osteonecrosis of the jaws (MRONJ).
  • Removal of necrotic bone from the maxilla
  • Radical sinusotomy performed
  • Closure of the defect utilizing pedicled myofascial temporalis flap (PMTF)
  • Favorable outcomes observed in the cohort
  • Feasibility of the approach confirmed with limited complications
  • Effective management of extensive MRONJ lesions noted

Abstract

The removal of necrotic bone combined with radical sinusotomy and closure of the defect with PMTF appears to be a feasible approach for managing extensive maxillary MRONJ lesions, with favourable outcomes observed in this limited cohort.

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Cite This Study

Andersen et al. (2026) studied this question.

synapsesocial.com/papers/69a286370a974eb0d3c0114ehttps://doi.org/10.1007/s10006-026-01532-w
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