Simple reconstruction with titanium mesh and radial forearm flap after globe-sparing total maxillectomy: a 5-year follow-up study

Plastic and Reconstructive Surgery
Kazunobu HashikawaKen-ichi Nibu

Abstract

Reconstruction of eye globe-sparing total maxillectomy defects is one of the major challenges to reconstructive surgeons. In 1994, the authors developed an uncomplicated and easy reconstructive method, where a titanium mesh is applied for the support of orbital contents, a radial forearm free flap for covering the mesh and the cheek lining, and an obturator prosthesis for palatal and dental rehabilitation. Five patients who underwent primary reconstruction with the authors' method after globe-sparing maxillectomy with loss of the orbital floor from 1994 to 1999 and who were followed up for more than 5 years were retrospectively reviewed for (1) the presence of diplopia, (2) the shape of the reconstructed orbital floor assessed by coronal section magnetic resonance imaging, and (3) the presence of infection/exposure of the titanium mesh. Only one of the five patients developed slight diplopia. Coronal magnetic resonance imaging showed that the orbital floor restored with titanium mesh had in all cases maintained a proper shape and position for more than 5 years. No infection or exposure of the titanium mesh had developed in any of the cases, despite exposure to irradiation of not less than 30 Gy. All the patients had well-retent...Continue Reading

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Citations

Sep 3, 2010·Plastic and Reconstructive Surgery·John Y S KimCharles E Butler
Mar 1, 2013·Plastic and Reconstructive Surgery·Fu-Chan Wei, Joseph H Dayan
Jul 6, 2014·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Subramania Iyer, Krishnakumar Thankappan
Aug 13, 2013·Hernia : the Journal of Hernias and Abdominal Wall Surgery·Y ImagawaK Hosokawa
Mar 8, 2016·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Bok Ki JungDong Won Lee
Aug 25, 2009·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Guowen SunQingang Hu
Sep 8, 2015·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Maziar Motiee-LangroudiMehrdad Jafari
Mar 14, 2018·The Journal of Craniofacial Surgery·Talha MaqboolOleh M Antonyshyn
Jan 8, 2008·Plastic and Reconstructive Surgery·Constance M Chen, Peter G Cordeiro
Dec 29, 2019·The Journal of Craniofacial Surgery·Xiu An LinChang Liu
Jan 21, 2009·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·Tateki KuboKo Hosokawa

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