Premium
An Algorithm for Maxillectomy Defect Reconstruction
Author(s) -
Davison Steven P.,
Sherris David A.,
Meland N. Bradly
Publication year - 1998
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/00005537-199802000-00010
Subject(s) - medicine , swallowing , oral cavity , orbit (dynamics) , soft tissue , nasal cavity , palatal obturator , dentistry , algorithm , surgery , prosthesis , computer science , engineering , aerospace engineering
A maxillectomy defect creates a communication from oral cavity to nasal cavity that may extend to the orbit. Functional deglutition and speech problems with a significant soft tissue deficit ensue. This paper defines the reconstruction options for the spectrum of inferior partial maxillectomy defects to midfaceorbital exonerations. Treatment protocols from maxillectomy patients treated in January 1991 to February 1996 at a major tertiary care institution were reviewed(n = 108). An ascension of care from dental obturator, nonvascularized graft, local flap, regional flap, and free tissue grafts (n = 28) is described. These data and experience were organized to provide a treatment algorithm to assist in presurgical planning for maxillectomy reconstruction.