A modified classification for the maxillectomy defect.
BACKGROUND
At present no widely accepted classification exists for the maxillectomy defect suitable for surgeons and prosthodontists. An acceptable classification that describes the defect and indicates the likely functional and aesthetic outcome is needed.


METHODS
The classification is made on the basis of the assessment of 45 consecutive maxillectomy patients derived prospectively from the database (September 1992) and retrospectively from 1989.


RESULTS
The classification of the vertical component is as follows: Class 1, maxillectomy without an oro-antral fistula; Class 2, low maxillectomy (not including orbital floor or contents); Class 3, high maxillectomy (involving orbital contents); and Class 4, radical maxillectomy (includes orbital exenteration); Classes 2 to 4 are qualified by adding the letter a, b, or c. The horizontal or palatal component is classified as follows: a, unilateral alveolar maxillectomy; b, bilateral alveolar maxillectomy; and c, total alveolar maxillary resection.


CONCLUSIONS
This practical classification attempts to relate the likely aesthetic and functional outcomes of a maxillectomy to the method of rehabilitation.
Brown
J S
JS
Regional Centre for Maxillofacial Surgery, University Hospital Aintree, Longmoor Lane, Liverpool L7 4AL UK.
Rogers
S N
SN
McNally
D N
DN
Boyle
M
M
D000328:Adult; D000368:Aged; D004954:Esthetics; D005260:Female; D006258:Head and Neck Neoplasms / Q000534:rehabilitation* / Q000601:surgery*; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery*; D008875:Middle Aged; D011379:Prognosis; D011446:Prospective Studies; D019651:Plastic Surgery Procedures / Q000145:classification* / Q000379:methods*; D012042:Registries; D012720:Severity of Illness Index; D013524:Surgical Flaps / Q000145:classification*; D016896:Treatment Outcome; D006113:United Kingdom