Simple maxillary reconstruction using free tissue transfer and prostheses

Minoru Sakuraba, Yoshihiro Kimata, Yojiro Ota, Kiyotaka Uchiyama, Seiji Kishimoto, Kiyonori Harii, Satoshi Ebihara

Research output: Contribution to journalArticlepeer-review

46 Citations (Scopus)


Prosthetic rehabilitation is essential for maintaining postoperative oral function after maxillary reconstruction. However, the maxillary prosthesis becomes unstable in some patients because of extensive palatomaxillary resection and drooping of the transferred flap. In such patients, maintaining sufficient oral function is difficult, especially if the patient is edentulous. To achieve prosthetic retention, the authors performed microvascular maxillary reconstruction with a slit-shaped fenestration in the midline of the hard palate. Maxillary defects after subtotal or total maxillectomy were reconstructed with rectus abdominis musculocutaneous flaps in five patients. Defects of the nasal lining and palate were reconstructed with the single cutaneous portion of the flap, and a slit-shaped fenestration was left between the cutaneous portion of the flap and the edge of the remaining hard palate. Postoperatively, patients were fitted with maxillary prostheses that hada a flat projection for the palatal fenestration. In all patients, the prosthesis was stable enough for mastication and prevented nasal regurgitation. Speech function was rated as excellent on Hirose's scoring system for Japanese speech ability. The authors believe that their method of palatomaxillary reconstruction is both simple and reliable.

Original languageEnglish
Pages (from-to)594-598
Number of pages5
JournalPlastic and reconstructive surgery
Issue number2
Publication statusPublished - Feb 2003
Externally publishedYes

ASJC Scopus subject areas

  • Surgery


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