Publication:
Boneless Maxillary Reconstruction

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Date
2020-01-01T00:00:00Z
Authors
Kelahmetoğlu, Osman
Güneren, Ethem
Kuzu, Ismail Melih
Yıldız, Kemalettin
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Abstract
Objective: Although the midface is supported by maxillary bone, reconstruction of maxillary bony defects does not always require osseous reconstruction. A series of maxillary facial defects of moderate to severe sizes (Brown and Shaw 4-6) uniformly reconstructed with myocutaneous free flaps is presented. Methods: Retrospective analysis was done for consecutive 10 cases between 2013-18. Seven of the cases had defects caused by oncological resection and 3 defects caused by trauma. Free vertically oriented rectus abdominis (fVRAM) flap was used to reconstruct these defects. The mean age of patients was 42.9 years (range=20-71 years). All flaps survived and 2 flaps had small skin island problems. Rapid recovery, low morbidity, acceptable oral competency, and satisfactory cosmetic appearance were obtained with the reconstruction using fVRAM flaps. Conclusion: According to our limited experience, acceptable reconstruction of extensive maxillary defects can be done with using only soft tissue flap, which is versatile and safe.
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Maxillectomy, midface, rectus abdominis myocutaneous flap, facial defect, soft tissue reconstruction
Citation
Kelahmetoğlu O., Güneren E., Kuzu I. M. , Yıldız K., -Boneless Maxillary Reconstruction-, Bezmiâlem Science, cilt.8, no.18, ss.102-105, 2020
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