Midface Reconstruction: Planning and Outcome

Abstract

Reconstruction of the complex anatomy and aesthetics of the midface is often a challenge. A careful understanding of this three-dimensional (3D) structure is necessary. Anticipating the extent of excision and its planning following oncological resections is critical.In the past over two decades, with the advances in microsurgical procedures, contributions toward the reconstruction of this area have generated interest. Planning using digital imaging, 3D printed models, osseointegrated implants, and low-profile plates, has favorably impacted the outcome. However, there are still controversies in the management: to use single composite tissues versus multiple tissues; implants versus autografts; vascularized versus nonvascularized bone; prosthesis versus reconstruction.This article explores the present available options in maxillary reconstruction and outlines the approach in the management garnered from past publications and experiences.

Temporalis Pedicled Coronoid Process Graft for Orbital Floor Reconstruction

“…Temporalis pedicled coronoid process graft is a reliable, easily available tissue which can be modified for reconstruction of the orbital floor. It offers outcomes comparable to other techniques without need for extensive surgery [2].…”

The Role of Full-Thickness Skin Grafts in Patient’s Rehabilitation after Maxillectomy and Midface Defects

“…Due to the length and complexity of the procedure and the high risk of failure of this method, not every patient can be qualified for this type of treatment [10]. Elderly patients with general diseases, which make it impossible to carry out long-term surgery, require the use of alternative surgical techniques enabling a quick return to social life and effective post-operative rehabilitation [11][12][13][14].…”