Abstract
Prosthetic rehabilitation is essential for maintaining postoperative oral function after maxillary reconstruction. However, the maxillary prosthesis becomes unstable in some patients because of extensive palatomaxillary resection and drooping of the transferred flap. In such patients, maintaining sufficient oral function is difficult, especially if the patient is edentulous. To achieve prosthetic retention, the authors performed microvascular maxillary reconstruction with a slit-shaped fenestration in the midline of the hard palate. Maxillary defects after subtotal or total maxillectomy were reconstructed with rectus abdominis musculocutaneous flaps in five patients. Defects of the nasal lining and palate were reconstructed with the single cutaneous portion of the flap, and a slit-shaped fenestration was left between the cutaneous portion of the flap and the edge of the remaining hard palate. Postoperatively, patients were fitted with maxillary prostheses that hada a flat projection for the palatal fenestration. In all patients, the prosthesis was stable enough for mastication and prevented nasal regurgitation. Speech function was rated as excellent on Hirose's scoring system for Japanese speech ability. The authors believe that their method of palatomaxillary reconstruction is both simple and reliable.
| Original language | English |
|---|---|
| Pages (from-to) | 594-598 |
| Number of pages | 5 |
| Journal | Plastic and Reconstructive Surgery |
| Volume | 111 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - Feb 2003 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Surgery
Cite this
Simple maxillary reconstruction using free tissue transfer and prostheses. / Sakuraba, Minoru; Kimata, Yoshihiro; Ota, Yojiro; Uchiyama, Kiyotaka; Kishimoto, Seiji; Harii, Kiyonori; Ebihara, Satoshi.
In: Plastic and Reconstructive Surgery, Vol. 111, No. 2, 02.2003, p. 594-598.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Simple maxillary reconstruction using free tissue transfer and prostheses
AU - Sakuraba, Minoru
AU - Kimata, Yoshihiro
AU - Ota, Yojiro
AU - Uchiyama, Kiyotaka
AU - Kishimoto, Seiji
AU - Harii, Kiyonori
AU - Ebihara, Satoshi
PY - 2003/2
Y1 - 2003/2
N2 - Prosthetic rehabilitation is essential for maintaining postoperative oral function after maxillary reconstruction. However, the maxillary prosthesis becomes unstable in some patients because of extensive palatomaxillary resection and drooping of the transferred flap. In such patients, maintaining sufficient oral function is difficult, especially if the patient is edentulous. To achieve prosthetic retention, the authors performed microvascular maxillary reconstruction with a slit-shaped fenestration in the midline of the hard palate. Maxillary defects after subtotal or total maxillectomy were reconstructed with rectus abdominis musculocutaneous flaps in five patients. Defects of the nasal lining and palate were reconstructed with the single cutaneous portion of the flap, and a slit-shaped fenestration was left between the cutaneous portion of the flap and the edge of the remaining hard palate. Postoperatively, patients were fitted with maxillary prostheses that hada a flat projection for the palatal fenestration. In all patients, the prosthesis was stable enough for mastication and prevented nasal regurgitation. Speech function was rated as excellent on Hirose's scoring system for Japanese speech ability. The authors believe that their method of palatomaxillary reconstruction is both simple and reliable.
AB - Prosthetic rehabilitation is essential for maintaining postoperative oral function after maxillary reconstruction. However, the maxillary prosthesis becomes unstable in some patients because of extensive palatomaxillary resection and drooping of the transferred flap. In such patients, maintaining sufficient oral function is difficult, especially if the patient is edentulous. To achieve prosthetic retention, the authors performed microvascular maxillary reconstruction with a slit-shaped fenestration in the midline of the hard palate. Maxillary defects after subtotal or total maxillectomy were reconstructed with rectus abdominis musculocutaneous flaps in five patients. Defects of the nasal lining and palate were reconstructed with the single cutaneous portion of the flap, and a slit-shaped fenestration was left between the cutaneous portion of the flap and the edge of the remaining hard palate. Postoperatively, patients were fitted with maxillary prostheses that hada a flat projection for the palatal fenestration. In all patients, the prosthesis was stable enough for mastication and prevented nasal regurgitation. Speech function was rated as excellent on Hirose's scoring system for Japanese speech ability. The authors believe that their method of palatomaxillary reconstruction is both simple and reliable.
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UR - http://www.scopus.com/inward/citedby.url?scp=0037312319&partnerID=8YFLogxK
U2 - 10.1097/01.PRS.0000041941.98504.B6
DO - 10.1097/01.PRS.0000041941.98504.B6
M3 - Article
VL - 111
SP - 594
EP - 598
JO - Plastic and Reconstructive Surgery
JF - Plastic and Reconstructive Surgery
SN - 0032-1052
IS - 2
ER -