Prosthetic Reconstruction of the Maxilla and Palate

Author:

Pool Christopher1,Shokri Tom1,Vincent Aurora2,Wang Weitao2,Kadakia Sameep3,Ducic Yadranko2

Affiliation:

1. Department of Otolaryngology, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania

2. Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas

3. Department of Plastic and Reconstructive Surgery, Wright State University, Dayton, Ohio

Abstract

AbstractMaxillary defects commonly present following surgical resection of oncologic processes. The use of rotational and free flaps has largely replaced the use of prosthetic options for hard palate and maxillary reconstruction, but prostheses remain a useful tool. Prosthetic devices may be invaluable in patients considered poor candidates for surgical reconstruction secondary to poor vascularity, need for postoperative radiation, or medical comorbidities that place them at high risk for healing following reconstruction. Obturators may also be considered over soft tissue options if oncologic surveillance via direct visualization of the surgical site is warranted.

Publisher

Georg Thieme Verlag KG

Subject

Surgery

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