[Reconstruction of maxillary defects combination with pedicled buccal fat pad graft, temporalis myofascial flap and titanium mesh].
OBJECTIVE
To study the feasibility of close and three-dimensional reconstruction of maxillary defects combination with pedicled buccal fat pad graft, temporalis myofascial flap and titanium mesh.


METHODS
Among 11 patients with maxillary tumors, 9 were malignant and 2 were benign. 8 cases underwent subtotal maxillectomy and 3 cases underwent total maxillectomy. Maxillary defects were closely reconstructed combination with pedicled buccal fat pad graft (BFP), temporalis myofascial flap (TMF) and titanium mesh to restore the profile of maxilla.


RESULTS
All flaps were alive with satisfactory function and aesthetic appearance. The uncovered BFP and the facial muscle surface of TMF epithelialized within 4-6 weeks. Their degree of mouth opening ranged from 2.5 to 4.0 cm and without nasal foods return. All patients had a good voice quality.


CONCLUSIONS
Making use of BFP, TMF and titanium mesh can restore the good contour and function of maxillary. It is an effective method of reconstruction of maxillary defects, and is easy to manipulate. It is worthy to popularization.
Dept. of Oral and Maxillofacial Surgery, Youjiang Medical College for Nationalities, Baise 533000, China.
Jin-Guang
JG
Yao
Long-Jiang
LJ
Li
Jun
J
Li
Hai-Bo
HB
Chen
Xiu-Han
XH
Luo
D000273:Adipose Tissue; D005260:Female; D006801:Humans; D008297:Male; D008437:Maxilla; D008441:Maxillary Neoplasms; D008875:Middle Aged; D019736:Prostheses and Implants; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps; D014025:Titanium
D014025:Titanium