title: [Application of titanium mesh and free forearm flap for reconstruction of maxillary defect resulted from tumor resection].
abstract: OBJECTIVE
  To investigate the application of titanium mesh and free forearm flap for reconstruction of maxillary defect resulted from tumor resection.
  
  
  METHODS
  From 2004 to 2008, 19 cases with maxillary tumor underwent tumor resection. The defects were reconstructed immediately with titanium mesh for bony defects and free forearm flap for oral mucosa defects.
  
  
  RESULTS
  16 cases achieved satisfactory functional and cosmetic results. The speech assessment was good without oronasal reflux. The titanium mesh was exposed and infected in 3 cases. Then the meshes were taken out and the defects were covered with the forearm flap to close the oronasal fistula. The midface was slightly depressed with no functional morbidity.
  
  
  CONCLUSIONS
  It is simple and practical to reconstruct maxillary defect with titanium mesh and free forearm flap. Both the functional and cosmetic results are satisfactory.
authors.affiliation: Stomatological Hospital Affiliated Medical School, Nanjing University, Stomatological Hospital of Nanjing, 30 Zhongyang Road, Nanjing 210008, China.
authors.forename: Guo-Wen
authors.initials: GW
authors.lastname: Sun
authors.forename: Xu-Dong
authors.initials: XD
authors.lastname: Yang
authors.forename: Qin-Gang
authors.initials: QG
authors.lastname: Hu
authors.forename: Ming-Yao
authors.initials: MY
authors.lastname: Xu
authors.forename: Jian-Min
authors.initials: JM
authors.lastname: Wen
authors.forename: Ming-Xing
authors.initials: MX
authors.lastname: Lu
authors.forename: Run-Zhi
authors.initials: RZ
authors.lastname: Deng
authors.forename: En-Yi
authors.initials: EY
authors.lastname: Tang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005542:Forearm / Q000601:surgery*; D006801:Humans; D008297:Male; D008441:Maxillary Neoplasms / Q000601:surgery; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods; D016038:Skin Transplantation; D013524:Surgical Flaps; D013526:Surgical Mesh; D014025:Titanium; D055815:Young Adult
chemical_list: D014025:Titanium