Classification of maxillectomy defects: A systematic review and criteria necessary for a universal description

Jacob, Rhonda F.; Taylor, Thomas D.

doi:10.1016/s0022-3913(12)60071-7

Cited by 64 publications

(70 citation statements)

References 38 publications

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“…On the other side, surgeons’ perspective of classification depends on the surgical resection [37, 38]. Hence, several maxillectomy classification systems have been proposed but, till now, no consensus has been reached [35–39]. …”

Section: Discussionmentioning

confidence: 99%

Quality of life and problems associated with obturators of patients with maxillectomies

2018

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BackgroundMaxillary defects predispose patients to different undesirable effects. The aim of this study was to assess the quality of life (QoL) of patients with maxillary defects (acquired/congenital) wearing obturators.MethodsThe study comprised 30 patients aged between 16 and 78 years. Interviews were conducted to collect information pertaining to patients; sociodemographic, self-reported function of obturator using Obturator Functioning Scale (OFS), self-evaluation of general health using Visual Analogue Scale (VAS), radiotherapy treatment, salivary gland removal, reconstructive surgery, neck dissection and length of time obturators were worn. Clinical examination included type of maxillectomy, Aramany classification of the defect, and evaluation of obturator function using the Kapur retention and stability scoring system.ResultQuality of life was affected significantly by marital status (P = 0.026). Married patients had better quality of life 61.3%, followed by divorced patients 38.8%, widowed 37.3% and the least QoL was detected in single patients 36.5%. Significant association between the type of maxillectomy and QoL was detected (P = 0.002). Retention of obturator prosthesis had a highly significant association with QoL (P < 0.001). Type of maxillectomy had a significant relation with obturator retention (P = 0.005). Stability had a significant correlation with QoL (P = 0.022). Obturator wearers who were treated with radiotherapy had lower QoL than those who were not treated with radiotherapy.ConclusionRehabilitation of patients with maxillary defects using obturator prosthesis is an appropriate and not invasive treatment modality. Results support that good obturators contribute to a better life quality.

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Section: Discussionmentioning

confidence: 99%

Quality of life and problems associated with obturators of patients with maxillectomies

2018

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“…[24][25][26][27][28][29][30][31][32][33] Some of these classifications have entered into daily clinical practice, while some others less so. To clarify such confusion, we decided to base our proposal on the surgical anatomy of the tongue.…”

Section: Discussionmentioning

confidence: 99%

“…Other classifications of surgical procedures are reported in the literature, not only in the field of head and neck surgery but also in other fields in an attempt to create a common unifying language and to make such techniques more reproducible and comprehensible. [24][25][26][27][28][29][30][31][32][33] Some of these classifications have entered into daily clinical practice, while some others less so. An early example is that of the Viennese surgeon Theodor Billroth, who in 1881 proposed the first classification of a surgical procedure for gastric resection.…”

Section: Discussionmentioning

confidence: 99%

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Classification of GLOSSECTOMIES: Proposal for tongue cancer resections

et al. 2019

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Background Surgery of tongue tumors includes different procedures ranging from mucosal resection to complex combined resection. Numerous terms have been used to describe such procedures, but there is no consensus between the terminology and the extent of resection. Methods and Results We searched the medical literature and found a lack of published information. We undertook to describe a new classification of surgical procedures for tongue tumor resection. We based it upon the surgical anatomy of the tongue and the spread of the cancer. We posited that there were five major types of glossectomy embracing all the methods of tongue cancer resection. This classification was reviewed and endorsed by an international team of experts. Conclusion We propose a more precise classification than that currently in practice, thereby bringing clarity and consistency to the terminology, facilitating shared communication between surgeons, comparison between published research, and ultimately improving surgical practice and patient care.

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“…Because maxillectomy defects are complex and involve a number of anatomic structures, several maxillectomy defect classifications have been introduced to facilitate communication, reconstruction planning, and treatment outcome comparisons . Two classification systems proposed by Brown et al and Cordeiro and Santamaria have been widely used since 2000.…”

Section: Discussionmentioning

confidence: 99%

Maxillary reconstruction with a double‐barrel osteocutaneous fibular flap and arteriovenous saphenous loop after a globe‐sparing total maxillectomy—A Case Report

2015

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Maxillary reconstruction using titanium mesh or bone grafts can invite unwanted complications, such as graft resorption, infection, and mesh exposure, especially for patients who require postoperative radiotherapy. Here, we reported a 58-year-old male patient who was diagnosed with maxillary sinus squamous cell carcinoma. The patient received cancer ablation by a globe-sparing total maxillectomy and was immediately reconstructed with a double-barrel osteocutaneous fibular flap to simultaneously restore the alveolar ridge, orbital support, and oro-sinonasal separation. The short pedicle length inherent in the double-barrel design of the fibular flap and the depletion of healthy recipient vessels in the midface after cancer ablation were overcome by creating an arteriovenous saphenous loop in the neck region. Though there was venous congestion on postoperative day 2, the postoperative recovery was uneventful after the revision of the venous anastomoses. During the 6-months follow-up, the outcome was functionally and aesthetically satisfactory. We believe that the double-barrel fibular osteocutaneous flap, which avoids using titanium mesh and bone grafts, may be a viable reconstructive option in cancer patients with globe-sparing total maxillectomy defects, especially for those who require postoperative radiotherapy. © 2015 Wiley Periodicals, Inc. Microsurgery 37:334-338, 2017.

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Classification of maxillectomy defects: A systematic review and criteria necessary for a universal description

Cited by 64 publications

References 38 publications

Quality of life and problems associated with obturators of patients with maxillectomies

Quality of life and problems associated with obturators of patients with maxillectomies

Classification of GLOSSECTOMIES: Proposal for tongue cancer resections

Maxillary reconstruction with a double‐barrel osteocutaneous fibular flap and arteriovenous saphenous loop after a globe‐sparing total maxillectomy—A Case Report

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