Microvascular free flap reconstruction versus palatal obturation for maxillectomy defects

Moreno, Mauricio A.; Skoracki, Roman J.; Hanna, Ehab Y.; Hanasono, Matthew M.

doi:10.1002/hed.21264

Cited by 158 publications

(151 citation statements)

References 27 publications

(41 reference statements)

Supporting

Mentioning

145

Contrasting

Unclassified

Order By: Relevance

“…Moreno et al reported that moderately sized maxillectomy defects involving the palate can be successfully treated with either an obturator or free flap reconstruction; however, extensive defects have a better functional outcome with free flaps [10]. In our case, bony reconstruction and insertion of a dental implant should have been performed because the maxillary defect was relatively extensive and our patient was relatively young.…”

Section: Discussionmentioning

confidence: 82%

Significant improvement in temporary dental rehabilitation by notable miniplate application in the hard palate for a patient with a large anterior maxillary defect: a case report/technique article

Ishikawa¹,

Kikuchi

Kobayashi³

et al. 2013

Head Face Med

View full text Add to dashboard Cite

The present report describes the application of a miniplate in the hard palate of a 36-year-old patient with a large anterior maxillary defect. The combination of orthodontic elastics with a titanium miniplate improved the stability of the prefabricated prosthesis. This structure retained the ointment gauze covering the wounds and maintained the facial contour. In addition, contracture deformity was prevented by insertion of the prefabricated prosthesis intraoperatively or immediately postoperatively. Furthermore, a soft diet could be ingested immediately postoperatively. The miniplate also supported the anterior part and the definitive prosthesis. This prosthesis restored adequate masticatory, deglutitive, and speech functions and maintained the facial contour with minimum overloading of the remaining teeth.

show abstract

Section: Discussionmentioning

confidence: 82%

Significant improvement in temporary dental rehabilitation by notable miniplate application in the hard palate for a patient with a large anterior maxillary defect: a case report/technique article

Ishikawa¹,

Kikuchi

Kobayashi³

et al. 2013

Head Face Med

View full text Add to dashboard Cite

show abstract

“…7 Reconstruction mainly depends on the placement of palatal obturators and/or free flaps with microvascular anastomosis, which are harvested from a distant donor site, which in turn increases the morbidity and need for additional surgical intervention. 10,11 Palatal obturators are frequently used to treat small and medium size defects, and they represent the 'gold standard' technique in terms of functional restoration without the need for additional surgery. However, the prostheses can be problematic because of prolonged maintenance, and they are particularly inconvenient for people with poor manual dexterity or visual impairment.…”

Section: Discussionmentioning

confidence: 99%

Nasoseptal flap for palatal reconstruction after hemi-maxillectomy: case report

et al. 2017

View full text Add to dashboard Cite

Objective: Palatal reconstruction following maxillectomy is a surgical challenge, and a nasoseptal flap is a feasible approach. This paper reports the first known successful clinical case of a nasoseptal pedicle flap applied for the reconstruction of maxillary bone following hemi-maxillectomy.Case report: This report describes hemi-maxillectomy in a 60-year-old Italian male diagnosed with stage IV squamous cell carcinoma of the left maxilla. Endoscopic transnasal extended medial maxillectomy was performed, followed by a transoral modified midfacial degloving technique for removal of the maxillary bone. The contralateral nasoseptal pedicle flap was used to reconstruct the defect. The case was followed up prospectively for the assessment of flap reception and healing.Conclusion: The locally accessible nasoseptal flap is a viable alternative for palatal reconstruction; therefore, a second surgical procedure with its associated donor site morbidity can be avoided. Large-scale studies may help in establishing the cosmetic and functional outcomes.

show abstract

“…This requires selection of an appropriate flap, in which mobile bone, muscle and skin elements are used to reconstruct the alveolar process of the maxilla, the zygomatic arch, the lateral wall of the nasal cavity, the palate and/or the cheek. Free bone flaps meet these requirements (6,7). Depending on the volume of resected soft tissue and the extent of bone resection, the free fibula or iliac crest flap are selected (8)(9)(10)(11)(12).…”

Section: Discussionmentioning

confidence: 99%

Maxillary Reconstruction Using a Multi-Element Free Fibula Flap Based on a Three-Dimensional Polyacrylic Resin Model

Jędrzejewski¹,

Maciejewski²,

Szymczyk³

et al. 2012

Polish Journal of Surgery

View full text Add to dashboard Cite

Preoperative preparation of working models of the skull and free bone flaps using the digital print technology and photocured polyacrylic resins may be of a great benefit to the patient, for whom a virtual resection and reconstruction procedure may be planned in detail and performed. The purpose of mid-facial reconstruction using 3D models is to plan a functional mid-facial reconstruction procedure in order to restore supportive function of intraorbital structures and to make placement of dental implants and further prosthetic rehabilitation possible. Maxillary and mid-facial reconstruction using a free fibula flap based on a three-dimensional working model was performed in a patient diagnosed with a squamous cell carcinoma of the left maxillary sinus penetrating to the orbit, the ethmoid complex, and the pterygopalatine fossa. The use of three-dimensional polyacrylic models allowed for detailed preoperative planning and a virtual resection and reconstruction procedure with a highly satisfying functional and cosmetic effect. A procedure based on methods discussed here may be significantly shorter and more precise.

show abstract

Microvascular free flap reconstruction versus palatal obturation for maxillectomy defects

Cited by 158 publications

References 27 publications

Significant improvement in temporary dental rehabilitation by notable miniplate application in the hard palate for a patient with a large anterior maxillary defect: a case report/technique article

Significant improvement in temporary dental rehabilitation by notable miniplate application in the hard palate for a patient with a large anterior maxillary defect: a case report/technique article

Nasoseptal flap for palatal reconstruction after hemi-maxillectomy: case report

Maxillary Reconstruction Using a Multi-Element Free Fibula Flap Based on a Three-Dimensional Polyacrylic Resin Model

Contact Info

Product

Resources

About