Lessons Learned from Delayed Versus Immediate Microsurgical Reconstruction of Complex Maxillectomy and Midfacial Defects: Experience in a Tertiary Center in Mexico.
Microsurgical reconstruction of complex midfacial and maxillectomy defects is among the most challenging procedures in plastic surgery, and it often requires composite flaps to improve functional and aesthetic results. Various factors have been identified as having influence in the outcome of microsurgical reconstruction. In this article, the authors present their experience with immediate and delayed reconstruction of complex maxillectomy defects in a tertiary center in Mexico. The authors present a total of 37 patients with microsurgical reconstruction of a complex maxillectomy defect; 13 patients had immediate and 24 had delayed reconstructions. The authors recommend doing immediate reconstruction when feasible.
Department of Plastic and Reconstructive Surgery, Hospital General Dr. Manuel Gea Gonzalez, National Cancer Institute, Universidad Nacional Autonoma de Mexico, Av. Calzada de Tlalpan 4800, Tlalpan, Sección XVI, 14080 Ciudad de México, Mexico. Electronic address: ericsanta@prodigy.net.mx.
Eric
E
Santamaria
Department of Plastic and Reconstructive Surgery, Hospital General Dr. Manuel Gea Gonzalez, Av. Calzada de Tlalpan 4800, Tlalpan, Sección XVI, 14080 Ciudad de México, Mexico.
Erika
E
de la Concha
D000328:Adult; D000368:Aged; D005145:Face / Q000601:surgery*; D005151:Facial Injuries / Q000601:surgery; D005260:Female; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008437:Maxilla / Q000293:injuries / Q000601:surgery*; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D013524:Surgical Flaps; D013997:Time Factors; D014947:Wounds and Injuries / Q000209:etiology / Q000601:surgery*; D055815:Young Adult
Delayed reconstruction; Free flaps; Head and neck reconstruction; Immediate reconstruction; Maxillectomy; Radiotherapy