Fig. 4

Case 4 a Middle aged male with biopsy proven well differentiated squamous cell carcinoma of the left maxilla. b CT scan with contrast showing enhancement in the left maxilla sinus, left sided palate with destruction of the left maxillary arch. c Picture showing a moderate volume with large surface area defect after wide local excision of the tumor (subtotal maxillectomy) including resection of maxillary arch, palate and anterior and lateral walls with preservation of the orbital floor. d Four weeks follow up picture showing good mucosalisation of the temporal muscle flap. e Follow up CT scan of the patient showing temporalis muscle flap filling the defect. f Late follow up picture, patient has good facial contours with mild temporal hollowing