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Laryngoscope. 1998 Feb;108(2):215-9.

An algorithm for maxillectomy defect reconstruction.

Author information

1
Department of Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota 55905, USA.

Abstract

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 midface-orbital 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.

PMID:
9473070
[Indexed for MEDLINE]

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