Maxillary reconstruction
This article aims to discuss the various defects that occur with maxillectomy with a full review of the literature and discussion of the advantages and disadvantages of the various techniques described. Reconstruction of the maxilla can be relatively simple for the standard low maxillectomy that doe...
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2007-12-01
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| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.ijps.org/article.asp?issn=0970-0358;year=2007;volume=40;issue=12;spage=35;epage=43;aulast=Brown |
| _version_ | 1831695926121463808 |
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| author | Brown James |
| author_facet | Brown James |
| author_sort | Brown James |
| collection | DOAJ |
| description | This article aims to discuss the various defects that occur with maxillectomy with a full review of the literature and discussion of the advantages and disadvantages of the various techniques described. Reconstruction of the maxilla can be relatively simple for the standard low maxillectomy that does not involve the orbital floor (Class 2). In this situation the structure of the face is less damaged and the there are multiple reconstructive options for the restoration of the maxilla and dental alveolus. If the maxillectomy includes the orbit (Class 4) then problems involving the eye (enopthalmos, orbital dystopia, ectropion and diplopia) are avoided which simplifies the reconstruction. Most controversy is associated with the maxillectomy that involves the orbital floor and dental alveolus (Class 3). A case is made for the use of the iliac crest with internal oblique as an ideal option but there are other methods, which may provide a similar result. A multidisciplinary approach to these patients is emphasised which should include a prosthodontist with a special expertise for these defects. |
| first_indexed | 2024-12-20T13:03:32Z |
| format | Article |
| id | doaj.art-275da46c47bb4dfd843fd5053ef2237f |
| institution | Directory Open Access Journal |
| issn | 0970-0358 |
| language | English |
| last_indexed | 2024-12-20T13:03:32Z |
| publishDate | 2007-12-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj.art-275da46c47bb4dfd843fd5053ef2237f2022-12-21T19:39:51ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03582007-12-0140123543Maxillary reconstructionBrown JamesThis article aims to discuss the various defects that occur with maxillectomy with a full review of the literature and discussion of the advantages and disadvantages of the various techniques described. Reconstruction of the maxilla can be relatively simple for the standard low maxillectomy that does not involve the orbital floor (Class 2). In this situation the structure of the face is less damaged and the there are multiple reconstructive options for the restoration of the maxilla and dental alveolus. If the maxillectomy includes the orbit (Class 4) then problems involving the eye (enopthalmos, orbital dystopia, ectropion and diplopia) are avoided which simplifies the reconstruction. Most controversy is associated with the maxillectomy that involves the orbital floor and dental alveolus (Class 3). A case is made for the use of the iliac crest with internal oblique as an ideal option but there are other methods, which may provide a similar result. A multidisciplinary approach to these patients is emphasised which should include a prosthodontist with a special expertise for these defects.http://www.ijps.org/article.asp?issn=0970-0358;year=2007;volume=40;issue=12;spage=35;epage=43;aulast=BrownHead and neck cancersmaxillary reconstructionmaxillectomy |
| spellingShingle | Brown James Maxillary reconstruction Indian Journal of Plastic Surgery Head and neck cancers maxillary reconstruction maxillectomy |
| title | Maxillary reconstruction |
| title_full | Maxillary reconstruction |
| title_fullStr | Maxillary reconstruction |
| title_full_unstemmed | Maxillary reconstruction |
| title_short | Maxillary reconstruction |
| title_sort | maxillary reconstruction |
| topic | Head and neck cancers maxillary reconstruction maxillectomy |
| url | http://www.ijps.org/article.asp?issn=0970-0358;year=2007;volume=40;issue=12;spage=35;epage=43;aulast=Brown |
| work_keys_str_mv | AT brownjames maxillaryreconstruction |