Immediate maxillary reconstruction after malignant tumor extirpation

S. Sarukawa, M. Sakuraba, T. Asano, T. Yano, Y. Kimata, R. Hayashi, S. Ebihara

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Aims: Immediate maxillary reconstruction after malignant tumor extirpation differs from other types of maxillary reconstruction. Our reconstruction algorithm is described in this article. Methods: One hundred ninety-four patients who had undergone maxillectomy for malignant tumors were reviewed, and maxillectomy defects were classified with the method of Cordeiro and Santamaria. Results: Mean total blood loss was 848 ml, and 71 patients died within 2 years after surgery. For type IIIa defects of the orbital floor, titanium mesh or vascularized bone or cartilage was used for reconstruction, but the rate of postoperative complications did not differ between titanium and autografts. Therefore, to reconstruct orbital floor defects we have recently used only titanium mesh. For type I or II defects, we use autografts for only selected cases. Conclusions: We strive to perform less-invasive reconstructive surgery after resection for maxillary malignancy.

Original languageEnglish
Pages (from-to)518-523
Number of pages6
JournalEuropean Journal of Surgical Oncology
Volume33
Issue number4
DOIs
Publication statusPublished - May 1 2007

Keywords

  • Head and neck neoplasm
  • Maxilla
  • Reconstructive surgical procedure

ASJC Scopus subject areas

  • Surgery
  • Oncology

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