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Article: Microsurgical reconstruct ion of maxilla defects after maxillectomy
| Title | Microsurgical reconstruct ion of maxilla defects after maxillectomy |
|---|---|
| Authors | |
| Issue Date | 1-May-2013 |
| Publisher | Elsevier |
| Citation | Oral Oncology, 2013, v. 49, p. S18-S18 How to Cite? |
| Abstract | BackgroundMaxillary defects caused by tumor ablative surgery might lead to deformity of the face and malfunction of mastication, swallowing, phonation and respiration. Microsurgical reconstruction of maxilla is technical challenging and time consuming. The study aims at reporting our experience of maxilla reconstruction using free flaps. MethodsWe evaluated bony reconstruction after maxillectomy with deep circumflex iliac artery free flap (DCIA) and fibular flap. For fibular flap, preoperative surgical simulation was performed based on CT scans of maxillofacial region and low extremity. Resection template, segmentation template and transfer template were designed and fabricated via rapid prototyping technique. Tumor resection, fibula segmentation and bone graft transfer were performed according to the templates. ResultsThe surgical procedures were all performed successfully. No major post-operative complications were observed. Dental implants were done in selected cases, with satisfactory functional outcome. ConclusionWith preoperative surgical simulation, microsurgical reconstruction of maxilla defects with free flap can be accurately performed. |
| Persistent Identifier | http://hdl.handle.net/10722/337600 |
| ISSN | 2023 Impact Factor: 4.0 2023 SCImago Journal Rankings: 1.257 |
| ISI Accession Number ID |
| DC Field | Value | Language |
|---|---|---|
| dc.contributor.author | Su, YX | - |
| dc.contributor.author | Zheng, GS | - |
| dc.contributor.author | Liao, GQ | - |
| dc.date.accessioned | 2024-03-11T10:22:25Z | - |
| dc.date.available | 2024-03-11T10:22:25Z | - |
| dc.date.issued | 2013-05-01 | - |
| dc.identifier.citation | Oral Oncology, 2013, v. 49, p. S18-S18 | - |
| dc.identifier.issn | 1368-8375 | - |
| dc.identifier.uri | http://hdl.handle.net/10722/337600 | - |
| dc.description.abstract | <h3>Background</h3><p>Maxillary defects caused by tumor <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/ablation-therapy" title="Learn more about ablative surgery from ScienceDirect's AI-generated Topic Pages">ablative surgery</a> might lead to deformity of the face and malfunction of <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/masticatory-force" title="Learn more about mastication from ScienceDirect's AI-generated Topic Pages">mastication</a>, swallowing, <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/phonation" title="Learn more about phonation from ScienceDirect's AI-generated Topic Pages">phonation</a> and respiration. <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/microsurgery" title="Learn more about Microsurgical from ScienceDirect's AI-generated Topic Pages">Microsurgical</a> reconstruction of <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/maxilla" title="Learn more about maxilla from ScienceDirect's AI-generated Topic Pages">maxilla</a> is technical challenging and time consuming. The study aims at reporting our experience of <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/maxilla" title="Learn more about maxilla from ScienceDirect's AI-generated Topic Pages">maxilla</a> reconstruction using <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/free-tissue-graft" title="Learn more about free flaps from ScienceDirect's AI-generated Topic Pages">free flaps</a>.</p><h3>Methods</h3><p>We evaluated bony reconstruction after <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/maxilla-resection" title="Learn more about maxillectomy from ScienceDirect's AI-generated Topic Pages">maxillectomy</a> with deep circumflex <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/iliac-artery" title="Learn more about iliac artery from ScienceDirect's AI-generated Topic Pages">iliac artery</a> free flap (DCIA) and <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/fibula-graft" title="Learn more about fibular flap from ScienceDirect's AI-generated Topic Pages">fibular flap</a>. For <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/fibula-graft" title="Learn more about fibular flap from ScienceDirect's AI-generated Topic Pages">fibular flap</a>, preoperative surgical simulation was performed based on CT scans of maxillofacial region and low extremity. Resection <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/dna-template" title="Learn more about template from ScienceDirect's AI-generated Topic Pages">template</a>, segmentation <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/dna-template" title="Learn more about template from ScienceDirect's AI-generated Topic Pages">template</a> and transfer template were designed and fabricated via <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/rapid-prototyping" title="Learn more about rapid prototyping from ScienceDirect's AI-generated Topic Pages">rapid prototyping</a> technique. Tumor resection, <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/fibula" title="Learn more about fibula from ScienceDirect's AI-generated Topic Pages">fibula</a> segmentation and <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/bone-graft" title="Learn more about bone graft from ScienceDirect's AI-generated Topic Pages">bone graft</a> transfer were performed according to the templates.</p><h3>Results</h3><p>The surgical procedures were all performed successfully. No major post-operative complications were observed. <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/dental-prosthesis" title="Learn more about Dental implants from ScienceDirect's AI-generated Topic Pages">Dental implants</a> were done in selected cases, with satisfactory functional outcome.</p><h3>Conclusion</h3><p>With preoperative surgical simulation, microsurgical reconstruction of maxilla defects with free flap can be accurately performed.</p> | - |
| dc.language | eng | - |
| dc.publisher | Elsevier | - |
| dc.relation.ispartof | Oral Oncology | - |
| dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
| dc.title | Microsurgical reconstruct ion of maxilla defects after maxillectomy | - |
| dc.type | Article | - |
| dc.identifier.doi | 10.1016/j.oraloncology.2013.03.046 | - |
| dc.identifier.volume | 49 | - |
| dc.identifier.spage | S18 | - |
| dc.identifier.epage | S18 | - |
| dc.identifier.eissn | 1879-0593 | - |
| dc.identifier.isi | WOS:000209477200045 | - |
| dc.publisher.place | AMSTERDAM | - |
| dc.identifier.issnl | 1368-8375 | - |