A novel approach to palatomaxillary reconstruction: use of radial forearm free tissue transfer combined with zygomaticus implants.
Pathologic resections involving the maxilla/hemimaxilla offer a unique reconstructive challenge to the maxillofacial reconstructive surgeon. Traditionally, reconstruction and replacement of lost tissues have been achieved with a variety of methods including obturators, local/regional flaps, and microvascular free tissue transfer. All these techniques have distinct disadvantages. We present a novel approach to palatomaxillary reconstruction using a combination of free tissue transfer and zygomaticus implants. To our knowledge, this specific technique has not been previously reported.
Hirsch
David L
DL
Division of Oral and Maxillofacial Surgery, College of Dentistry, New York University School of Medicine, New York, NY, USA. davidlhirsch@yahoo.com
Howell
Kacey L
KL
Levine
Jamie P
JP
D000328:Adult; D000368:Aged; D018277:Carcinoma, Mucoepidermoid / Q000473:pathology / Q000601:surgery; D003758:Dental Implantation, Endosseous / Q000379:methods*; D015921:Dental Implants; D019094:Dental Prosthesis, Implant-Supported; D003828:Denture, Overlay; D003829:Denture, Partial; D005260:Female; D005542:Forearm; D006392:Hemangioma, Cavernous / Q000601:surgery; D006801:Humans; D008297:Male; D008437:Maxilla / Q000098:blood supply / Q000473:pathology / Q000601:surgery*; D008441:Maxillary Neoplasms / Q000473:pathology / Q000601:surgery; D013516:Oral Surgical Procedures, Preprosthetic / Q000379:methods*; D010027:Osteotomy / Q000379:methods; D021362:Palate, Hard / Q000473:pathology / Q000601:surgery; D019736:Prostheses and Implants; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps; D016896:Treatment Outcome; D015050:Zygoma / Q000601:surgery
D015921:Dental Implants