Paranasal sinus and midfacial reconstruction.
Midface defects pose the most difficult of the facial reconstruction problems. Current reconstruction relies heavily on microsurgical techniques, among which there are numerous possibilities. Although midface defects frequently extend to the upper and lower face, often an awareness of the midface subunits most involved can be of critical importance. This article presents an approach that will help the surgeon to identify the defect-related problems, prioritize the reconstructive goals, and select the best surgical option in the total patient context.
Archibald
Stuart
S
Department of Surgery, McMaster University, Hamilton, Ontario, Canada. archibs@mcmaster.ca
Jackson
Stan
S
Thoma
Achilleas
A
D016025:Bone Transplantation / Q000379:methods; D004172:Diplopia / Q000517:prevention & control; D005147:Facial Bones / Q000601:surgery*; D006801:Humans; D010255:Paranasal Sinus Neoplasms / Q000601:surgery*; D019736:Prostheses and Implants; D013524:Surgical Flaps