Progress on reconstruction of total maxillary defects with vascularized osseous composite flap

Abstract

Abstract: The importance of the central portion of the face, including the maxilla, cheek, palate, cannot be underestimated. This portion of the face provides much of the facial appearance,as well as supports the function of mastication, deglutition,speech and normal vision. So reconstruction of a mid-facial defect is one of the most complex and controversial tasks in head and neck reconstructive surgery, among which reconstruction of total maxillary defects with preservation of orbital contents (James Brown Class Ⅲb) is the most difficult. In the present article, we reviewed the goals of total maxillary reconstruction, the methods to reconstruct the total maxillary defects with vascularized osseous composite flaps and issues related to bone reconstruction.

Key words: Total maxillary defects, Fibular composite flap, Iliac crest composite flap, Scapular composite flap

CLC Number:

R782.2.3

YU Miao, QIN Xing-jun, XU Li-qun. Progress on reconstruction of total maxillary defects with vascularized osseous composite flap[J]. China Journal of Oral and Maxillofacial Surgery, 2015, 13(3): 273-279.

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