[Reconstruction of mid-face defects following the removal of malignant neoplasms: A review of 80 cases].
OBJECTIVE
To evaluate the reconstructive methods of outcome of midface defects following the removal of malignant neoplasms.


METHODS
Eighty cases(54 males, and 26 females, age ranging from 23 - 79, with a median age of 53.5 years), of midface malignant tumors from 1997 - 2006 in Beijing Tongren Hospital were retrospectively reviewed. The clinical data including the type of midface region defects, reconstructive methods and the therapeutic outcome were analyzed. Of the 80 patients, 6 cases were with type I (external nasal) defect, 56 with type II (maxillary) defect, 14 with type III (naso-facio-maxillary) defect and 4 with type IV (maxillary defect combined with naso-facio-orbital cutaneous deficiency).


RESULTS
The defects after the removal of malignant tumors were repaired with pedicle tissue flaps in 31 cases and free tissue flaps in 49 cases, respectively, one-stage reconstruction accounting for 73 cases (91.2%). Kaplan-Meier analysis showed total 3-year and 5-year survival rates were 63.8% and 40.6%, respectively.


CONCLUSIONS
One-stage reconstruction is a satisfactory method for the repair of midface defect after the removal of malignant tumor, with good clinical outcome. Selection of repair methods should be based on defect types.
Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing 100710, China.
Qi
Q
Zhong
Zhi-gang
ZG
Huang
Ju-gao
JG
Fang
Xin
X
Ni
Xiao-hong
XH
Chen
Wei-guo
WG
Zhou
Xue-jun
XJ
Chen
De-min
DM
Han
D000328:Adult; D000368:Aged; D005151:Facial Injuries / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008441:Maxillary Neoplasms / Q000601:surgery*; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D013524:Surgical Flaps; D016896:Treatment Outcome; D055815:Young Adult