Abstract
Maxillary reconstruction after ablative surgery has long been a challenge for plastic surgeons. The goal of this reconstructive field is to maintain the midfacial contour aesthetic contour and functional units of the orbit, nose, paranasal sinuses, and upper dental arch. In order to obtain satisfactory results, several complicated procedures including vascularized bone grafts, transferring several flaps, and prolonged operative times have been reported. However, the prognosis of the patients with large maxillary defects that require immediate reconstruction reviewed in this article is poor. Therefore in primary reconstruction for total maxillectomy, shortening the operative times, reducing the early postoperative complications, maintaining the speech and swallowing functions, and finally preventing severe facial deformities are important principles. In this paper, we describe simple reconstruction such as those using the single flap procedures including palatine-naso-facial portion (PNF) methods and titanium mesh. For edentulous patients, we developed slit-type maxillary reconstruction for patients who undergo total or extended maxillectomy.
| Original language | English |
|---|---|
| Pages (from-to) | 859-867 |
| Number of pages | 9 |
| Journal | Japanese Journal of Plastic and Reconstructive Surgery |
| Volume | 50 |
| Issue number | 8 |
| Publication status | Published - Aug 2007 |
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ASJC Scopus subject areas
- Surgery
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Primary reconstruction following total maxillectomy to maintain the facial contour. / Kimata, Yoshihiro; Sakuraba, Minoru.
In: Japanese Journal of Plastic and Reconstructive Surgery, Vol. 50, No. 8, 08.2007, p. 859-867.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Primary reconstruction following total maxillectomy to maintain the facial contour
AU - Kimata, Yoshihiro
AU - Sakuraba, Minoru
PY - 2007/8
Y1 - 2007/8
N2 - Maxillary reconstruction after ablative surgery has long been a challenge for plastic surgeons. The goal of this reconstructive field is to maintain the midfacial contour aesthetic contour and functional units of the orbit, nose, paranasal sinuses, and upper dental arch. In order to obtain satisfactory results, several complicated procedures including vascularized bone grafts, transferring several flaps, and prolonged operative times have been reported. However, the prognosis of the patients with large maxillary defects that require immediate reconstruction reviewed in this article is poor. Therefore in primary reconstruction for total maxillectomy, shortening the operative times, reducing the early postoperative complications, maintaining the speech and swallowing functions, and finally preventing severe facial deformities are important principles. In this paper, we describe simple reconstruction such as those using the single flap procedures including palatine-naso-facial portion (PNF) methods and titanium mesh. For edentulous patients, we developed slit-type maxillary reconstruction for patients who undergo total or extended maxillectomy.
AB - Maxillary reconstruction after ablative surgery has long been a challenge for plastic surgeons. The goal of this reconstructive field is to maintain the midfacial contour aesthetic contour and functional units of the orbit, nose, paranasal sinuses, and upper dental arch. In order to obtain satisfactory results, several complicated procedures including vascularized bone grafts, transferring several flaps, and prolonged operative times have been reported. However, the prognosis of the patients with large maxillary defects that require immediate reconstruction reviewed in this article is poor. Therefore in primary reconstruction for total maxillectomy, shortening the operative times, reducing the early postoperative complications, maintaining the speech and swallowing functions, and finally preventing severe facial deformities are important principles. In this paper, we describe simple reconstruction such as those using the single flap procedures including palatine-naso-facial portion (PNF) methods and titanium mesh. For edentulous patients, we developed slit-type maxillary reconstruction for patients who undergo total or extended maxillectomy.
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UR - http://www.scopus.com/inward/citedby.url?scp=34547941630&partnerID=8YFLogxK
M3 - Article
VL - 50
SP - 859
EP - 867
JO - Japanese Journal of Plastic Surgery
JF - Japanese Journal of Plastic Surgery
SN - 0021-5228
IS - 8
ER -