Reconstruction of Midface and Orbital Wall Defects After Maxillectomy and Orbital Content Preservation With Titanium Mesh and Fascia Lata: 3-Year Follow-Up

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Maziar Motiee-LangroudiMehrdad Jafari

Abstract

To describe the authors' experience in the reconstruction of patients after total maxillectomy with preservation of orbital contents for maxillary tumors using titanium mesh and autogenous fascia lata, where no setting for free flap reconstruction is available. Twelve consecutive patients with paranasal sinus tumors underwent total maxillectomy without orbital exenterations and primary reconstruction. The defects were reconstructed by titanium mesh in combination with autogenous fascia lata in the orbital floor performed by 1 surgical team. Titanium mesh (0.2 mm thick) was contoured and fixed to reconstruct the orbital floor and obtain midface projection. Fascia lata was used to cover the titanium mesh along the orbital floor to prevent fat entrapment in the mesh holes. The most common pathology was squamous cell carcinoma (50%). Patients' mean age was 45.66 years (33 to 74 yr). The mean follow-up period was 35.2 months (30 to 49 months). During follow-up, no infection or foreign body reaction was encountered. Extrusion of titanium mesh occurred in 4 patients who underwent postoperative radiotherapy. Two cases of mild diplopia at extreme gaze occurred early during the postoperative period that resolved after a few months. Placi...Continue Reading

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Citations

Aug 20, 2016·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Cesare PiazzaPiero Nicolai
Mar 14, 2018·The Journal of Craniofacial Surgery·Talha MaqboolOleh M Antonyshyn
Mar 22, 2019·The Journal of Craniofacial Surgery·Adam R SweeneyArash Jian-Amadi
Nov 16, 2019·Journal of Materials Science. Materials in Medicine·Bing-Yao LiuTing Guo
Jul 14, 2019·The Journal of Craniofacial Surgery·Adam R SweeneyArash Jian-Amadi
Dec 25, 2019·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·N Le ClercP Herman

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