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Reconstruction of Complex Zygomatico-Maxillary Defect Using the Free Vascularized Cutaneous Flap and Autogeneous Bone Graft: Case Report  

Park, Ji-Hoon (Department of Oral & Maxillofacial Surgery, School of Dentistry, Kyungpook National University)
Jang, Jung-Woo (Department of Oral & Maxillofacial Surgery, School of Dentistry, Kyungpook National University)
Choi, So-Young (Department of Oral & Maxillofacial Surgery, School of Dentistry, Kyungpook National University)
Kim, Chin-Soo (Department of Oral & Maxillofacial Surgery, School of Dentistry, Kyungpook National University)
Kwon, Tae-Geon (Department of Oral & Maxillofacial Surgery, School of Dentistry, Kyungpook National University)
Publication Information
Maxillofacial Plastic and Reconstructive Surgery / v.33, no.1, 2011 , pp. 44-48 More about this Journal
Abstract
Maxillary defects are inherently complex because they generally involve more than one midfacial component. In addition, most maxillary defects are composite in nature, and often require bony support, as well as a mucosal lining for reconstruction. Therefore, midfacial bone and soft tissue defects present a unique challenge because they require a complex arrangement of tissues in a relatively limited space. This might be difficult to achieve only with free osteocutaneous flaps. The use of bone grafts allows greater flexibility in a reconstruction but is limited by graft resorption. We report a case of a patient reconstructed with a lateral arm free flap, iliac bone graft, sagital split ramus osteotomy for the reconstruction of a right maxillary defect zygomatico-maxillary defect caused by a zygomatico-maxillary malignant tumor resection.
Keywords
Zygomatico-maxillary complex; Bone grafts; Lateral arm flap;
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1 Liu YM, Chen GF, Yan JL, et al. Functional reconstruction of maxilla with pedicled buccal fat pad flap, prefabricated titanium mesh and autologous bone grafts. Int J Oral Maxillofac Surg 2006;35:1108-13.   DOI   ScienceOn
2 Yamamoto K, Takagi N, Miyashita Y, Hirabayashi M, Goto A. Facial reconstruction with latissimus dorsi myocutaneous island flap following total maxillectomy. J Craniomaxillofac Surg 1987;15:288-90.   DOI
3 Foster RD, Anthony JP, Singer MI, Kaplan MJ, Pogrel MA, Mathes SJ. Reconstruction of complex midfacial defects. Plast Reconstr Surg 1997;99:1555-65.   DOI   ScienceOn
4 Granick MS, Ramasastry SS, Newton ED, Solomon MP, Hanna DC, Kaltman S. Reconstruction of complex maxillectomy defects with the scapular-free flap. Head Neck 1990;12:377-85.   DOI   ScienceOn
5 Cordeiro PG, Santamaria E, Kraus DH, Strong EW, Shah JP. Reconstruction of total maxillectomy defects with preservation of the orbital contents. Plast Reconstr Surg 1998;102: 1874-84; discussion 1885-7.   DOI   ScienceOn
6 Pollice PA, Frodel JL Jr. Secondary reconstruction of upper midface and orbit after total maxillectomy. Arch Otolaryngol Head Neck Surg 1998;124:802-8.   DOI
7 Mucke T, Loeffelbein DJ, Hohlweg-Majert B, Kesting MR, Wolff KD, Hölzle F. Reconstruction of the maxilla and midface--surgical management, outcome, and prognostic factors. Oral Oncology 2009;45:1073-8.   DOI   ScienceOn
8 Brown JS. Deep circumflex iliac artery free flap with internal oblique muscle as a new method of immediate reconstruction of maxillectomy defect. Head Neck 1996;18:412-21.   DOI   ScienceOn
9 Browne JD, Burke AJ. Benefits of routine maxillectomy and orbital reconstruction with the rectus abdominis free flap. Otolaryngol Head Neck Surg 1999;121:203-9.   DOI
10 Kazaoka Y, Shinohara A, Yokou K, Hasegawa T. Functional reconstruction after a total maxillectomy using a fibula osteocutaneous flap with osseointegrated implants. Plast Reconstr Surg 1999;103:1244-6.   DOI   ScienceOn
11 Brown RG, Nahai F, Silverton JS. The omentum in facial reconstruction. Br J Plast Surg 1978;31:58-62.   DOI   ScienceOn
12 Obwegeser HL. Late reconstruction of large maxillary defects after tumour resection. J Maxillofac Surg 1973;1:19-29.   DOI
13 Brown RG, Nahai F, Silverton JS. The omentum in facial reconstruction. Br J Plast Surg 1978;31:58-62.   DOI   ScienceOn
14 Rohner D, Tan BK, Song C, Yeow V, Hammer B. Repair of composite zygomatico-maxillary defects with free bone grafts and free vascularized tissue transfer. J CranioMaxillofac Surg 2001;29:337-43.   DOI   ScienceOn
15 Cordeiro PG, Santamaria E. A classification system and algorithm for reconstruction of maxillectomy and midfacial defects. Plast Reconstr Surg 2000;105:2331-46; discussion 2347-8.   DOI   ScienceOn
16 Futran ND, Mendez E. Developments in reconstruction of midface and maxilla. Lancet Oncol 2006;7:249-58.   DOI   ScienceOn
17 Triana RJ Jr, Uglesic V, Virag M, et al. Microvascular free flap reconstructive options in patients with partial and total maxillectomy defects. Arch Facial Plast Surg 2000;2:91-101.   DOI