title: Sinus lift access in partial maxillectomies.
abstract: Maxillectomies often result in anatomical defects that need to be reconstructed. In partial maxillectomies, the most significant defect is the formation of an oronasal or oral-antral fistula. This creates discomfort and needs to be addressed secondarily with local or regional flaps. Here, we describe a technique adopted in 8 patients in which limited maxillectomies are carried out in a way that preserves the nasal and sinus mucosa, preventing the formation of fistulas and allowing the use of flaps that would normally carry a high risk of fistula formation. Contemporary bone reconstruction with grafts was used in 2 patients. Sparing the sinus and nasal mucosa during maxillectomies is an easy, safe procedure that can prevent a number of complications and can be recommended in selected cases.
authors.affiliation: University of Milan, San Paolo Hospital, Milan, Italy. Electronic address: giacomo.colletti@gmail.com.
authors.forename: Giacomo
authors.initials: G
authors.lastname: Colletti
authors.affiliation: University of Milan, San Paolo Hospital, Milan, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Autelitano
authors.affiliation: University of Milan, San Paolo Hospital, Milan, Italy.
authors.forename: Dimitri
authors.initials: D
authors.lastname: Rabbiosi
authors.affiliation: University of Milan, San Paolo Hospital, Milan, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Bazzacchi
authors.affiliation: University of Milan, San Paolo Hospital, Milan, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Marelli
authors.affiliation: University of Milan, San Paolo Hospital, Milan, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Bardazzi
authors.affiliation: University of Milan, San Paolo Hospital, Milan, Italy.
authors.forename: Federico
authors.initials: F
authors.lastname: Biglioli
mesh_terms: D005260:Female; D006801:Humans; D007085:Ilium / Q000637:transplantation; D008297:Male; D008441:Maxillary Neoplasms / Q000601:surgery*; D008443:Maxillary Sinus / Q000601:surgery*; D008875:Middle Aged; D056948:Orthognathic Surgical Procedures / Q000379:methods*; D010027:Osteotomy; D012189:Retrospective Studies; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome