An Algorithm for Maxillectomy Defect Reconstruction
A maxillectomy defect creates a communication from oral cavity to nasal cavity that may extend to the orbit. Functional deglutition and speech problems with a significant soft tissue deficit ensue. This paper defines the reconstruction options for the spectrum of inferior partial maxillectomy defect...
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| Veröffentlicht in: | The Laryngoscope 1998-02, Vol.108 (2), p.215-219 |
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| container_title | The Laryngoscope |
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| creator | Davison, Steven P. Sherris, David A. Meland, N. Bradly |
| description | A maxillectomy defect creates a communication from oral cavity to nasal cavity that may extend to the orbit. Functional deglutition and speech problems with a significant soft tissue deficit ensue. This paper defines the reconstruction options for the spectrum of inferior partial maxillectomy defects to midfaceorbital exonerations. Treatment protocols from maxillectomy patients treated in January 1991 to February 1996 at a major tertiary care institution were reviewed(n = 108). An ascension of care from dental obturator, nonvascularized graft, local flap, regional flap, and free tissue grafts (n = 28) is described. These data and experience were organized to provide a treatment algorithm to assist in presurgical planning for maxillectomy reconstruction. |
| doi_str_mv | 10.1097/00005537-199802000-00010 |
| format | Article |
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Bradly</creatorcontrib><title>An Algorithm for Maxillectomy Defect Reconstruction</title><title>The Laryngoscope</title><addtitle>The Laryngoscope</addtitle><description>A maxillectomy defect creates a communication from oral cavity to nasal cavity that may extend to the orbit. Functional deglutition and speech problems with a significant soft tissue deficit ensue. This paper defines the reconstruction options for the spectrum of inferior partial maxillectomy defects to midfaceorbital exonerations. Treatment protocols from maxillectomy patients treated in January 1991 to February 1996 at a major tertiary care institution were reviewed(n = 108). An ascension of care from dental obturator, nonvascularized graft, local flap, regional flap, and free tissue grafts (n = 28) is described. These data and experience were organized to provide a treatment algorithm to assist in presurgical planning for maxillectomy reconstruction.</description><subject>Algorithms</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Humans</subject><subject>Male</subject><subject>Maxilla - surgery</subject><subject>Maxillary Sinus - surgery</subject><subject>Maxillary Sinus Neoplasms - surgery</subject><subject>Maxillofacial Prosthesis Implantation</subject><subject>Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Palatal Obturators</subject><subject>Reconstructive Surgical Procedures</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgical Flaps</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMlOwzAQQC0EglL4BKQcELfAuN7iY9kKUgsIsZ4sx7UhkAXsVLR_jyGlZyxZXubNjP0QSjAcYpDiCOJgjIgUS5nBIJ7SODGsoR5mBKdUSraOegADkmZs8LSFtkN4i4QgDDbRpqSCgIAeIsM6GZYvjS_a1ypxjU8mel6UpTVtUy2SU-viLrm1pqlD62emLZp6B204XQa7u1z76P787O7kIh1fjy5PhuPUMKCQOp4ZnHPOKaEwdSTDDKwEYYTAnDspprnQnFJOtI1fAcJzih3nmXaOC4JJHx10dT988zmzoVVVEYwtS13bZhaUkFwClRDBrAONb0Lw1qkPX1TaLxQG9eNL_flSK1_q11dM3Vv2mOWVna4Sl4JifH8Z18Ho0nldmyKssAGmnBMWsdMO-ypKu_h3ezUe3j4zRjHE29_XpF2ZIrR2viqj_buKRgRTj1cjdTy5oPCQjdUN-QYu_5G7</recordid><startdate>199802</startdate><enddate>199802</enddate><creator>Davison, Steven P.</creator><creator>Sherris, David A.</creator><creator>Meland, N. 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Orthodontics</topic><topic>Humans</topic><topic>Male</topic><topic>Maxilla - surgery</topic><topic>Maxillary Sinus - surgery</topic><topic>Maxillary Sinus Neoplasms - surgery</topic><topic>Maxillofacial Prosthesis Implantation</topic><topic>Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Palatal Obturators</topic><topic>Reconstructive Surgical Procedures</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgical Flaps</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Davison, Steven P.</creatorcontrib><creatorcontrib>Sherris, David A.</creatorcontrib><creatorcontrib>Meland, N. 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Bradly</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An Algorithm for Maxillectomy Defect Reconstruction</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>1998-02</date><risdate>1998</risdate><volume>108</volume><issue>2</issue><spage>215</spage><epage>219</epage><pages>215-219</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><coden>LARYA8</coden><abstract>A maxillectomy defect creates a communication from oral cavity to nasal cavity that may extend to the orbit. Functional deglutition and speech problems with a significant soft tissue deficit ensue. This paper defines the reconstruction options for the spectrum of inferior partial maxillectomy defects to midfaceorbital exonerations. Treatment protocols from maxillectomy patients treated in January 1991 to February 1996 at a major tertiary care institution were reviewed(n = 108). 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| ispartof | The Laryngoscope, 1998-02, Vol.108 (2), p.215-219 |
| issn | 0023-852X 1531-4995 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete; Access via Wiley Online Library |
| subjects | Algorithms Biological and medical sciences Female Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics Humans Male Maxilla - surgery Maxillary Sinus - surgery Maxillary Sinus Neoplasms - surgery Maxillofacial Prosthesis Implantation Maxillofacial surgery. Dental surgery. Orthodontics Medical sciences Middle Aged Palatal Obturators Reconstructive Surgical Procedures Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgical Flaps |
| title | An Algorithm for Maxillectomy Defect Reconstruction |
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