Reconstruction of maxillary defects combination with pedicled buccal fat pad graft, temporalis myofascial flap and titanium mesh.
- Author:
Jin-guang YAO
1
;
Long-jiang LI
;
Jun LI
;
Hai-bo CHEN
;
Xiu-han LUO
Author Information
- Publication Type:Journal Article
- MeSH: Adipose Tissue; Female; Humans; Male; Maxilla; Maxillary Neoplasms; Middle Aged; Prostheses and Implants; Reconstructive Surgical Procedures; Surgical Flaps; Titanium
- From: West China Journal of Stomatology 2006;24(1):57-59
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo study the feasibility of close and three-dimensional reconstruction of maxillary defects combination with pedicled buccal fat pad graft, temporalis myofascial flap and titanium mesh.
METHODSAmong 11 patients with maxillary tumors, 9 were malignant and 2 were benign. 8 cases underwent subtotal maxillectomy and 3 cases underwent total maxillectomy. Maxillary defects were closely reconstructed combination with pedicled buccal fat pad graft (BFP), temporalis myofascial flap (TMF) and titanium mesh to restore the profile of maxilla.
RESULTSAll flaps were alive with satisfactory function and aesthetic appearance. The uncovered BFP and the facial muscle surface of TMF epithelialized within 4-6 weeks. Their degree of mouth opening ranged from 2.5 to 4.0 cm and without nasal foods return. All patients had a good voice quality.
CONCLUSIONMaking use of BFP, TMF and titanium mesh can restore the good contour and function of maxillary. It is an effective method of reconstruction of maxillary defects, and is easy to manipulate. It is worthy to popularization.
