Treatment of a maxillary defect following resection of carcinoma.
A group of 37 oncological patients with tumours of the head and neck where extensive resection of the face, maxilla or mandible or calva was necessary, comprised five patients with a typical defect after resection of part of the maxilla including half of the palate and exenteration of the orbit. This extensive defect causes discomfort to the patient and his environment--functional i.e. impaired speech, and cosmetic. A satisfactory solution during reconstruction of the maxilla without the need of skeletal reconstruction is microsurgical transplantation of a narrow flap of the latissimus dorsi, usually with two cutaneous islands--one to close the palate and the other to close the orbit and face.
Veselý
J
J
Clinic of Plastic and Aesthetic Surgery, St. Ann Faculty Hospital, Brno.
Hlozek
J
J
Krejcová
B
B
Smrcka
V
V
Mannino
E
E
D000368:Aged; D006801:Humans; D008437:Maxilla / Q000601:surgery*; D008441:Maxillary Neoplasms / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*