A modified technique for reconstruction of a total maxillary defect

作者：Yu, Miao; Qin, Xing-jun; Zhang, Chen-ping; Xu, Li-qun^*

来源：British Journal of Oral and Maxillofacial Surgery, 2016, 54(1): 106-108.

DOI：10.1016/j.bjoms.2015.09.015

• Total maxillary defect
• Reconstruction
• Coronoid temporalis pedicle flap
• Fibula flap

Total maxillary defects with orbital retention (Brown class 2b) are a challenge to reconstructive surgeons because of the variety of anatomical structures involved. Traditional techniques to reconstruct the orbital floor, zygoma, and maxilla using only a vascularised fibular flap are complicated, as the osteotomy and orientation of bone are difficult. Reconstruction of the orbital floor with titanium mesh may also cause palpable discomfort and increase the risk of secondary infection. We describe a modified technique using a vascularised fibular flap, together with a coronoid temporalis pedicle flap, which we used in two patients in whom we achieved satisfactory aesthetic and functional results. Our technique provides adequate tissue for infraorbital skin defects, provides pedicles of sufficient length, and requires only one fibular osteotomy. To our knowledge this is the first report of this technique.

• 出版日期2016-1
• 单位上海交通大学