Open AccessPalatomaxillary Reconstruction: Fibula or Scapula
Author(s) -
Arvind Badhey,
Muhammad Zia Khan
Publication year - 2020
Publication title -
seminars in plastic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.5
H-Index - 25
eISSN - 1536-0067
pISSN - 1535-2188
DOI - 10.1055/s-0040-1709431
Subject(s) - scapula , medicine , fibula , head and neck , orthodontics , mandible (arthropod mouthpart) , hard palate , mastication , reconstructive surgeon , palatal obturator , dentistry , anatomy , surgery , prosthesis , tibia , botany , biology , genus
Palatomaxillary reconstruction presents a unique challenge for the reconstructive surgeon. The maxillofacial skeleton preserves critical aerodigestive functions-it provides a stable hard palate to support mastication and separate the nasal and oral cavities, and buttress support to provide adequate midface contour. Free tissue transfer has become a routine part of the reconstructive ladder in managing palatomaxillary defects. While there is a wide variety of options for bony reconstruction within the head and neck, the fibula and the scapula, and their variations, have become two of the most commonly used options for midface reconstruction. This review will discuss the advantages and disadvantages of both in specific regard to reconstruction of the palatomaxillary area.