Maxillectomy defects - to reconstruct or not? Pilot survey of Nigerian oral and maxillofacial surgeons

Background: The choice of reconstruction options for maxillectomy defects varies significantly. Factors affecting it range from the type of defect to the surgeon's expertise. This study aims to evaluate the practice of Nigerian Oral and Maxillofacial surgeons in the reconstruction of post-maxil...

Full description

Bibliographic Details
Main Authors: Abdurrazaq Olanrewaju Taiwo, Adebayo Aremu Ibikunle, Ramat Oyebunmi Braimah
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Sahel Medical Journal
Subjects:
Online Access:http://www.smjonline.org/article.asp?issn=1118-8561;year=2017;volume=20;issue=3;spage=123;epage=128;aulast=Taiwo
_version_ 1818153713382981632
author Abdurrazaq Olanrewaju Taiwo
Adebayo Aremu Ibikunle
Ramat Oyebunmi Braimah
author_facet Abdurrazaq Olanrewaju Taiwo
Adebayo Aremu Ibikunle
Ramat Oyebunmi Braimah
author_sort Abdurrazaq Olanrewaju Taiwo
collection DOAJ
description Background: The choice of reconstruction options for maxillectomy defects varies significantly. Factors affecting it range from the type of defect to the surgeon's expertise. This study aims to evaluate the practice of Nigerian Oral and Maxillofacial surgeons in the reconstruction of post-maxillectomy defects. Materials and Methods: The survey was conducted by use of questionnaires administered at the annual scientific meeting of the oral and maxillofacial surgeons of Nigeria in Ibadan 2012. Results: A response rate of 66.7% was achieved. All of our respondents are consultant oral and maxillofacial surgeons, 80% of whom practice in a teaching hospital. All but one of them perform maxillectomies, however only 25% of them offer surgical reconstruction of the resulting defects to patients. Flaps have been used by 25% of the respondents, while none of them has employed microvascular reconstruction. Prosthetic rehabilitation of patients is pervasive among the respondents. Conclusion: Maxillectomy defects have far-reaching consequences on patients' quality of life and attempts should be made to reconstruct such defects. Although maxillectomy is a commonly performed procedure among oral and maxillofacial surgeons in Nigeria, especially for malignancies of the oral and paranasal sinuses, surgical reconstruction of resulting defects is not so frequently done. Microvascular surgery, which is becoming a frequently utilized option among surgeons in developed nations, is still infrequently used in our environment. There is a need for oral and maxillofacial surgeons in our climes to improve their skills so as to increase the range of reconstructive options offered.
first_indexed 2024-12-11T14:14:59Z
format Article
id doaj.art-2bc1faa0b18647a5873caaaf4706ec79
institution Directory Open Access Journal
issn 2321-6689
language English
last_indexed 2024-12-11T14:14:59Z
publishDate 2017-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Sahel Medical Journal
spelling doaj.art-2bc1faa0b18647a5873caaaf4706ec792022-12-22T01:03:13ZengWolters Kluwer Medknow PublicationsSahel Medical Journal2321-66892017-01-0120312312810.4103/smj.smj_30_16Maxillectomy defects - to reconstruct or not? Pilot survey of Nigerian oral and maxillofacial surgeonsAbdurrazaq Olanrewaju TaiwoAdebayo Aremu IbikunleRamat Oyebunmi BraimahBackground: The choice of reconstruction options for maxillectomy defects varies significantly. Factors affecting it range from the type of defect to the surgeon's expertise. This study aims to evaluate the practice of Nigerian Oral and Maxillofacial surgeons in the reconstruction of post-maxillectomy defects. Materials and Methods: The survey was conducted by use of questionnaires administered at the annual scientific meeting of the oral and maxillofacial surgeons of Nigeria in Ibadan 2012. Results: A response rate of 66.7% was achieved. All of our respondents are consultant oral and maxillofacial surgeons, 80% of whom practice in a teaching hospital. All but one of them perform maxillectomies, however only 25% of them offer surgical reconstruction of the resulting defects to patients. Flaps have been used by 25% of the respondents, while none of them has employed microvascular reconstruction. Prosthetic rehabilitation of patients is pervasive among the respondents. Conclusion: Maxillectomy defects have far-reaching consequences on patients' quality of life and attempts should be made to reconstruct such defects. Although maxillectomy is a commonly performed procedure among oral and maxillofacial surgeons in Nigeria, especially for malignancies of the oral and paranasal sinuses, surgical reconstruction of resulting defects is not so frequently done. Microvascular surgery, which is becoming a frequently utilized option among surgeons in developed nations, is still infrequently used in our environment. There is a need for oral and maxillofacial surgeons in our climes to improve their skills so as to increase the range of reconstructive options offered.http://www.smjonline.org/article.asp?issn=1118-8561;year=2017;volume=20;issue=3;spage=123;epage=128;aulast=TaiwoMaxillectomy defectsreconstructionrehabilitation
spellingShingle Abdurrazaq Olanrewaju Taiwo
Adebayo Aremu Ibikunle
Ramat Oyebunmi Braimah
Maxillectomy defects - to reconstruct or not? Pilot survey of Nigerian oral and maxillofacial surgeons
Sahel Medical Journal
Maxillectomy defects
reconstruction
rehabilitation
title Maxillectomy defects - to reconstruct or not? Pilot survey of Nigerian oral and maxillofacial surgeons
title_full Maxillectomy defects - to reconstruct or not? Pilot survey of Nigerian oral and maxillofacial surgeons
title_fullStr Maxillectomy defects - to reconstruct or not? Pilot survey of Nigerian oral and maxillofacial surgeons
title_full_unstemmed Maxillectomy defects - to reconstruct or not? Pilot survey of Nigerian oral and maxillofacial surgeons
title_short Maxillectomy defects - to reconstruct or not? Pilot survey of Nigerian oral and maxillofacial surgeons
title_sort maxillectomy defects to reconstruct or not pilot survey of nigerian oral and maxillofacial surgeons
topic Maxillectomy defects
reconstruction
rehabilitation
url http://www.smjonline.org/article.asp?issn=1118-8561;year=2017;volume=20;issue=3;spage=123;epage=128;aulast=Taiwo
work_keys_str_mv AT abdurrazaqolanrewajutaiwo maxillectomydefectstoreconstructornotpilotsurveyofnigerianoralandmaxillofacialsurgeons
AT adebayoaremuibikunle maxillectomydefectstoreconstructornotpilotsurveyofnigerianoralandmaxillofacialsurgeons
AT ramatoyebunmibraimah maxillectomydefectstoreconstructornotpilotsurveyofnigerianoralandmaxillofacialsurgeons