A new method of reconstruction in a patient undergoing bilateral total maxillectomy.
A new application of the titanium hollow screw reconstruction plate (THORP) system, originally designed for bridging mandibular defects, is presented. Because of the screw-plate locking principle, the system allows rigid fixation of the plate without unphysiologic load to the bone underneath. A case is presented with a large squamous cell carcinoma requiring bilateral total maxillectomy. The titanium plate was attached horizontally to the zygomatic bones with two titanium hollow screws on each side. Six months later a prosthetic device was constructed and attached to the exposed part of the plate by a modified bar and clips system. The patient is able to speak, chew, and swallow without difficulty.
Sjövall
L
L
Department of Oral and Maxillofacial Surgery, Helsinki University Central Hospital, Finland.
Lindqvist
C
C
Hallikainen
D
D
D000368:Aged; D001860:Bone Plates; D001863:Bone Screws; D002294:Carcinoma, Squamous Cell / Q000534:rehabilitation / Q000601:surgery; D003779:Denture Design; D003834:Denture Precision Attachment; D005260:Female; D006801:Humans; D008437:Maxilla / Q000601:surgery*; D008441:Maxillary Neoplasms / Q000534:rehabilitation / Q000601:surgery; D010158:Palatal Obturators; D011474:Prosthesis Design; D016038:Skin Transplantation; D014025:Titanium; D015050:Zygoma / Q000601:surgery
D014025:Titanium