Microsurgical reconstruction of the maxilla: Algorithm and concepts

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
H CostaCarolina Andresen

Abstract

The main purpose of this article is to highlight free tissue transfers as the first-choice method for three-dimensional (3D) maxillary reconstruction, particularly in providing enough bone for palate and maxillary arch reconstruction and consequently an implant-retained prosthesis. To achieve this, the myosseous free iliac crest was selected whenever possible as the first choice inside the reconstructive algorithm and free flap armamentarium. A new maxillectomy classification and algorithm reconstruction are proposed. Technical modifications and improvements accomplished over time are discussed, considering palate, dental implants and prosthesis, nasal sidewall, cranial base and dura, as well as recipient vessels. We present functional and aesthetic outcomes of the senior author's past 24-year experience (H. C.) with complex midface reconstructions. The authors report and analyse a 24-year experience with 57 midface defects in 54 patients (30 males and 24 females). A total of 57 maxillary defects - classified as Class I (limited maxillectomy) = 12, Class II (subtotal maxillectomy) = 15, Class III (total maxillectomy) = 19 and Class IV (orbitomaxillectomy) = 11 - were analysed regarding sex, age, tumour recurrence, free flap, re...Continue Reading

References

Nov 1, 1989·British Journal of Plastic Surgery·M J Earley
Mar 1, 1989·Archives of Otolaryngology--head & Neck Surgery·M L UrkenH F Biller
Mar 1, 1989·British Journal of Plastic Surgery·J Fisher, I T Jackson
Mar 1, 1989·Archives of Otolaryngology--head & Neck Surgery·G P Bridger, M Baldwin
Apr 1, 1986·Plastic and Reconstructive Surgery·W M SwartzR Acland
Jun 1, 1994·British Journal of Plastic Surgery·B NakayamaS Torii
Oct 1, 1993·American Journal of Surgery·M A SchustermanM J Miller
Apr 1, 1993·British Journal of Plastic Surgery·H CostaA Lopes
May 1, 1998·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·R Schmelzeisen, H Schliephake
Jun 8, 1999·Plastic and Reconstructive Surgery·P G Cordeiro, E Santamaria
Dec 10, 1999·Head & Neck·J S BrownM Boyle
Mar 10, 2001·Plastic and Reconstructive Surgery·David L. Larson
Jun 11, 2002·The British Journal of Oral & Maxillofacial Surgery·J S BrownE D Vaughan
Jan 8, 2008·Plastic and Reconstructive Surgery·Constance M Chen, Peter G Cordeiro
Aug 11, 2010·Plastic and Reconstructive Surgery·Colleen M McCarthy, Peter G Cordeiro

❮ Previous
Next ❯

Citations

May 27, 2016·Journal of Surgical Oncology·Edward I Chang, Matthew M Hanasono
Oct 8, 2016·Facial Plastic Surgery Clinics of North America·Daniel AlamDaniel Coventry
May 20, 2017·Craniomaxillofacial Trauma & Reconstruction·Mariana MatiasHorácio Costa
May 5, 2017·The Journal of Craniofacial Surgery·Ali Emre AksuTunç Şafak
Aug 10, 2019·International Journal of Dentistry·Fernanda Pereira de CaxiasMarcelo Coelho Goiato
Jan 7, 2021·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Gautam Biswas
Sep 6, 2020·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Carlos Navarro CuéllarJosé Ignacio Salmerón Escobar
Jan 18, 2021·The Journal of Prosthetic Dentistry·Sarah Kay Youny LeeOlivia Muller
Feb 16, 2021·Facial Plastic Surgery : FPS·Daniel HammerYadranko Ducic

❮ Previous
Next ❯

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.