Prosthetic Reconstruction of the Maxilla and Palate

Pool, Christopher; Shokri, Tom; Vincent, Aurora G.; Wang, Weitao; Kadakia, Sameep; Ducic, Yadranko

doi:10.1055/s-0040-1709143

Cited by 16 publications

(12 citation statements)

References 25 publications

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“…The results of the available studies clearly prove the effectiveness of the use of obturators in patients who have undergone maxillectomy [21,22]. The main disadvantage of this solution is severe pain associated with the initial period of use.…”

Section: Discussionmentioning

confidence: 86%

The Role of Full-Thickness Skin Grafts in Patient’s Rehabilitation after Maxillectomy and Midface Defects

Niedzielska

Obszyński

Bąk

et al. 2022

JCM

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(1) Background: Nowadays, microvascular grafts are the gold standard in the reconstruction of midface defects after maxillectomy, however, not all patients may qualify for this type of surgery. The purpose of present study is to evaluate the benefits of alternative reconstruction methods such as full-thickness skin grafts for these conditions. (2) Methods: The research group consisted of 37 patients who underwent maxillectomy due to cancer of the mid-face and had full-thickness skin graft reconstruction. The study covered the period from 2011 to 2020. (3) Results: Based on the clinical examination and the subjective assessment of patients, a positive effect of the use of free skin grafts on their convalescence and rehabilitation was found. In particular, they contributed to the reduction in postoperative pain and pain associated with prosthetic stages (VAS Scale). (4) Conclusion: Full-thickness skin grafts in combination with individual prosthetic restorations are a good alternative to rehabilitation in patients who do not qualify for microsurgical treatment.

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Section: Discussionmentioning

confidence: 86%

The Role of Full-Thickness Skin Grafts in Patient’s Rehabilitation after Maxillectomy and Midface Defects

Niedzielska

Obszyński

Bąk

et al. 2022

JCM

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“…At present, there is no unified standard method for the repair of palatal defect. According to the location and size of the fistula hole, different repair methods, such as prosthetic reconstruction, local rotating mucoperiosteal flap, free skin flap, lingual flap, and buccal muscle and mucosal flap, have been reported 10,12–15 . A retrospective study by Bonanthaya et al 16 showed that the quality and condition of adjacent tissues may be the main regulating factors in the selection of surgical repair and prognosis of palatal fistula.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of Large Acquired Palatal Defects Using Facial-Submental Artery Island Flap

Huang

Wang

Chen

et al. 2021

Journal of Craniofacial Surgery

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Objective:To evaluate the feasibility and clinical effect of facial-submental artery island flap (FSAIF) in the repair of palatal defects, and to provide reference for the clinical application of submental artery island flap.Methods:Nine patients with palatal defects, the range of nasal palatal perforation defects were 3 cm × 4cm to 3 cm × 6 cm (median 3 cm × 5.4 cm), were repaired by FSAIF, and the sizes of FSAIF were 4 cm × 9cm to 4 cm × 12 cm (median 4 cm × 10.4 cm,). Postoperative clinical efficacy was evaluated, including infection and necrosis of mucosal flap and postoperative palatal fistula perforation. Patients were followed up to evaluate their chewing, swallowing, speech function, and satisfaction of appearance.Results:All patients were successfully repaired with FSAIF. Followed up 13∼35 months, there was no palatal fistula perforation in all patients. The speech, agitation, and swallowing function were not affected and the patients were satisfied with the appearance.Conclusion:FSAIF is a safe and reliable method for palatal defect repair.

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“…• For maxillectomized patients, irrigation with saline solution (or salt and sodium bicarbonate) through the nasal cavity is indicated, as well as oral washing several times a day 43 .…”

Section: Daily Carementioning

confidence: 99%

Recommendations for post-rehabilitation care of maxillofacial prostheses

Costa,

Soares,

Barreto

et al. 2024

Braz.j. of oral sci.

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Aim: This study aimed to review the scientific literature to describe the main care and hygiene protocols for different types of maxillofacial prostheses (MFP). Methods: A bibliographic search on the PubMed / Medline database using the following keywords: [“maxillofacial prosthesis” OR “ocular prostheses” OR “palatal obturators”] AND [“Cleaning” OR “disinfection”] AND [“care”] AND [“color stability”] OR [“denture cleansers” OR “cleansing agents”]. Articles addressing materials, cleaning and disinfection protocols, and care related to MFP were included. The following exclusion criteria were applied: no adequate methodology, incompatibility with the area of interest, and unavailability for reading in full. Results: The papers were grouped into the following topics: facial prostheses, ocular prostheses, maxillofacial intraoral prostheses, and retention systems. Conclusion: Despite the MFP changes over time, its degradation decreases upon following the recommendations and post-adaptation care. The guidelines for cleaning and disinfection must be individualized to guarantee the longevity of the prosthesis and the patient health.

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Prosthetic Reconstruction of the Maxilla and Palate

Cited by 16 publications

References 25 publications

The Role of Full-Thickness Skin Grafts in Patient’s Rehabilitation after Maxillectomy and Midface Defects

The Role of Full-Thickness Skin Grafts in Patient’s Rehabilitation after Maxillectomy and Midface Defects

Reconstruction of Large Acquired Palatal Defects Using Facial-Submental Artery Island Flap

Recommendations for post-rehabilitation care of maxillofacial prostheses

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