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Semin Plast Surg 2019; 33(01): 030-037
DOI: 10.1055/s-0039-1677701
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Free Flap Reconstruction of the Maxilla

Aurora Vincent
1   Otolaryngology, Head and Neck Surgery, Madigan Army Medical Center, Tacoma, Washington
,
Jason Burkes
2   Maxillofacial Oncology and Microvascular Reconstructive Surgery, John Peter Smith Hospital, Fort Worth, Texas
,
Fayette Williams
2   Maxillofacial Oncology and Microvascular Reconstructive Surgery, John Peter Smith Hospital, Fort Worth, Texas
,
Yadranko Ducic
3   Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
› Institutsangaben
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Publikationsdatum:
08. März 2019 (online)

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Abstract

Tumors of the maxilla and midface are some of the most difficult to manage, not only in terms of treatment but also in terms of achieving acceptable orofacial reconstruction. Today, free flaps dominate the reconstructive field. Many patients can achieve successful reconstruction after free flap transfer with a return of intelligible speech, a regular diet, and acceptable cosmesis. Herein, the authors review free flap reconstruction of the maxilla, with a focus on the classifications of defects, when obturators are appropriate, types and sources of free flaps, and complications for which to beware.

Keywords

maxillary reconstruction - free flaps - maxillary prosthesis
 

  • References

  • 1 Brown JS, Shaw RJ. Reconstruction of the maxilla and midface: introducing a new classification. Lancet Oncol 2010; 11 (10) 1001-1008
    CrossrefPubMedGoogle Scholar
  • 2 Alam D, Ali Y, Klem C, Coventry D. The evolution of complex microsurgical midface reconstruction: a classification scheme and reconstructive algorithm. Facial Plast Surg Clin North Am 2016; 24 (04) 593-603
    CrossrefPubMedGoogle Scholar
  • 3 Bidra AS, Jacob RF, Taylor TD. Classification of maxillectomy defects: a systematic review and criteria necessary for a universal description. J Prosthet Dent 2012; 107 (04) 261-270
    CrossrefPubMedGoogle Scholar
  • 4 Spiro RH, Strong EW, Shah JP. Maxillectomy and its classification. Head Neck 1997; 19 (04) 309-314
    CrossrefPubMedGoogle Scholar
  • 5 Cordeiro PG, Santamaria E. A classification system and algorithm for reconstruction of maxillectomy and midfacial defects. Plast Reconstr Surg 2000; 105 (07) 2331-2346 , discussion 2347–2348
    CrossrefPubMedGoogle Scholar
  • 6 Cordeiro PG, Chen CM. A 15-year review of midface reconstruction after total and subtotal maxillectomy: part I. Algorithm and outcomes. Plast Reconstr Surg 2012; 129 (01) 124-136
    CrossrefPubMedGoogle Scholar
  • 7 Ariyan S. The pectoralis major myocutaneous flap. A versatile flap for reconstruction in the head and neck. Plast Reconstr Surg 1979; 63 (01) 73-81
    CrossrefPubMedGoogle Scholar
  • 8 Owens N. A compound neck pedicle designed for the repair of massive facial defects: formation, development and application. Plast Reconstr Surg (1946) 1955; 15 (05) 369-389
    CrossrefPubMedGoogle Scholar
  • 9 Chana JS, Odili J. Perforator flaps in head and neck reconstruction. Semin Plast Surg 2010; 24 (03) 237-254
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 10 Costa H, Zenha H, Sequeira H. , et al. Microsurgical reconstruction of the maxilla: algorithm and concepts. J Plast Reconstr Aesthet Surg 2015; 68 (05) e89-e104
    CrossrefPubMedGoogle Scholar
  • 11 Yetzer J, Fernandes R. Reconstruction of orbitomaxillary defects. J Oral Maxillofac Surg 2013; 71 (02) 398-409
    CrossrefPubMedGoogle Scholar
  • 12 Rogers SN, Lowe D, McNally D, Brown JS, Vaughan ED. Health-related quality of life after maxillectomy: a comparison between prosthetic obturation and free flap. J Oral Maxillofac Surg 2003; 61 (02) 174-181
    CrossrefPubMedGoogle Scholar
  • 13 Miles BAM, Gilbert RW. Maxillary reconstruction with the scapular angle osteomyogenous free flap. Arch Otolaryngol Head Neck Surg 2011; 137 (11) 1130-1135
    CrossrefPubMedGoogle Scholar
  • 14 Genden EM. Reconstruction of the mandible and the maxilla: the evolution of surgical technique. Arch Facial Plast Surg 2010; 12 (02) 87-90
    PubMedGoogle Scholar
  • 15 Cordeiro PG, Chen CM. A 15-year review of midface reconstruction after total and subtotal maxillectomy: part II. Technical modifications to maximize aesthetic and functional outcomes. Plast Reconstr Surg 2012; 129 (01) 139-147
    CrossrefPubMedGoogle Scholar
  • 16 Joseph ST, Thankappan K, Buggaveeti R, Sharma M, Mathew J, Iyer S. Challenges in the reconstruction of bilateral maxillectomy defects. J Oral Maxillofac Surg 2015; 73 (02) 349-356
    CrossrefPubMedGoogle Scholar
  • 17 Cannady SB, Lamarre E, Wax MK. Microvascular reconstruction: evidence-based procedures. Facial Plast Surg Clin North Am 2015; 23 (03) 347-356
    CrossrefPubMedGoogle Scholar
  • 18 Wax MK. The role of the implantable Doppler probe in free flap surgery. Laryngoscope 2014; 124 (Suppl. 01) S1-S12
    PubMedGoogle Scholar
  • 19 Futran ND. Primary reconstruction of the maxilla following maxillectomy with or without sacrifice of the orbit. J Oral Maxillofac Surg 2005; 63 (12) 1765-1769
    CrossrefPubMedGoogle Scholar
  • 20 Futran ND, Haller JR. Considerations for free-flap reconstruction of the hard palate. Arch Otolaryngol Head Neck Surg 1999; 125 (06) 665-669
    CrossrefPubMedGoogle Scholar
  • 21 Allen S, Lowe D, Harris RV, Brown S, Rogers SN. Is social inequality related to different patient concerns in routine oral cancer follow-up clinics?. Eur Arch Otorhinolaryngol 2017; 274 (01) 451-459
    CrossrefPubMedGoogle Scholar
  • 22 Kornblith AB, Zlotolow IM, Gooen J. , et al. Quality of life of maxillectomy patients using an obturator prosthesis. Head Neck 1996; 18 (04) 323-334
    CrossrefPubMedGoogle Scholar