TY - JOUR
T1 - Immediate maxillary reconstruction after malignant tumor extirpation
AU - Sarukawa, S.
AU - Sakuraba, M.
AU - Asano, T.
AU - Yano, T.
AU - Kimata, Y.
AU - Hayashi, R.
AU - Ebihara, S.
N1 - Funding Information:
Supported by a Grant-in-Aid for Cancer Research 9–17 from the Ministry of Health, Labour and Welfare of Japan.
PY - 2007/5
Y1 - 2007/5
N2 - Aims: Immediate maxillary reconstruction after malignant tumor extirpation differs from other types of maxillary reconstruction. Our reconstruction algorithm is described in this article. Methods: One hundred ninety-four patients who had undergone maxillectomy for malignant tumors were reviewed, and maxillectomy defects were classified with the method of Cordeiro and Santamaria. Results: Mean total blood loss was 848 ml, and 71 patients died within 2 years after surgery. For type IIIa defects of the orbital floor, titanium mesh or vascularized bone or cartilage was used for reconstruction, but the rate of postoperative complications did not differ between titanium and autografts. Therefore, to reconstruct orbital floor defects we have recently used only titanium mesh. For type I or II defects, we use autografts for only selected cases. Conclusions: We strive to perform less-invasive reconstructive surgery after resection for maxillary malignancy.
AB - Aims: Immediate maxillary reconstruction after malignant tumor extirpation differs from other types of maxillary reconstruction. Our reconstruction algorithm is described in this article. Methods: One hundred ninety-four patients who had undergone maxillectomy for malignant tumors were reviewed, and maxillectomy defects were classified with the method of Cordeiro and Santamaria. Results: Mean total blood loss was 848 ml, and 71 patients died within 2 years after surgery. For type IIIa defects of the orbital floor, titanium mesh or vascularized bone or cartilage was used for reconstruction, but the rate of postoperative complications did not differ between titanium and autografts. Therefore, to reconstruct orbital floor defects we have recently used only titanium mesh. For type I or II defects, we use autografts for only selected cases. Conclusions: We strive to perform less-invasive reconstructive surgery after resection for maxillary malignancy.
KW - Head and neck neoplasm
KW - Maxilla
KW - Reconstructive surgical procedure
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U2 - 10.1016/j.ejso.2006.10.027
DO - 10.1016/j.ejso.2006.10.027
M3 - Article
C2 - 17125962
AN - SCOPUS:34247092800
SN - 0748-7983
VL - 33
SP - 518
EP - 523
JO - European Journal of Surgical Oncology
JF - European Journal of Surgical Oncology
IS - 4
ER -