Simple Reconstruction with Titanium Mesh and Radial Forearm Flap after Globe-Sparing Total Maxillectomy: A 5-Year Follow-Up Study

Abstract

This long-term follow-up study demonstrated that the authors' method attained a long-lasting successful outcome functionally and is the method of choice for reconstruction after globe-sparing total maxillectomy.

A titanium screw-retaining temporary denture on the raw surface muscular flap for the immediate maxillary reconstruction

“…It may be difficult to perform reconstruction with hard tissue, depending on the tumor control status and the general condition of the patient. In addition, when only free soft tissue is used for the reconstruction, the flap hangs down in the oral cavity, making it difficult for the patient to wear dentures, and various approaches to resolve this problem have been attempted [1][2][3]. At our hospital, we choose the reconstruction method based on various factors, such as the degree of tumor extension, the tumor control status, the condition of the postoperative maxillary defect, and the general condition of the patient.…”

“…Various reconstruction methods have been reported to resolve these problems [1][2][3][4][5][6][7]. While free soft tissue alone is transplanted in some cases [2][3][4][5][6], free tissue containing hard tissue is transplanted in others [4][5][6][7].…”

“…Various methods have been reported for the reconstruction of maxillofacial defects after total maxillectomy [1][2][3][4][5][6][7]. Defects of the palate are often covered with free soft tissue grafts for reconstruction.…”

The Forearm Flap - Indications, Appropriate Selection, Complications and Functional Outcome

“…Interesting are the work of Costa and colleagues (1993) who used silicon moulds, silicone tubes and split-thickness grafts to reconstruct mouth, nose or ear, and the work of Pribaz und Fine (1994) who provided auricular cartilage into the flap to reconstruct the nose. Besides titanium mesh together with a free forearm flap can be used for reconstruction in the head and neck (Hashikawa et al, 2006;Kubo et al, 2009). Fig.…”

The Temporoparietal Fascial Flap Is an Alternative to Free Flaps for Orbitomaxillary Reconstruction

“…18 -22 Applying these principles to orbitomaxillary soft-tissue and bony defects often means that free tissue transfer is necessary. [23][24][25][26][27][28][29][30][31][32][33] However, in a subset of cases, the temporoparietal fascial flap may be a viable option to fulfill the same reconstructive objectives while obviating the need for complex microsurgical reconstruction.…”