title: The Evolution of Complex Microsurgical Midface Reconstruction: A Classification Scheme and Reconstructive Algorithm.
abstract: Orbito-malar reconstruction after oncological resection represents one of the most challenging facial reconstructive procedures. Until the last few decades, rehabilitation was typically prosthesis based with a limited role for surgery. The advent of microsurgical techniques allowed large-volume tissue reconstitution from a distant donor site, revolutionizing the potential approaches to these defects. The authors report a novel surgery-based algorithm and a classification scheme for complete midface reconstruction with a foundation in the Gillies principles of like-to-like reconstruction and with a significant role of computer-aided virtual planning. With this approach, the authors have been able to achieve significantly better patient outcomes.
authors.affiliation: University of Hawaii, John A Burns School of Medicine, Honolulu, HI, USA. Electronic address: dalam@queens.org.
authors.forename: Daniel
authors.initials: D
authors.lastname: Alam
authors.affiliation: Facial Plastic and Reconstructive Surgery, Queens Medical Center, Honolulu, HI, USA.
authors.forename: Yaseen
authors.initials: Y
authors.lastname: Ali
authors.affiliation: University of Hawaii, John A Burns School of Medicine, Honolulu, HI, USA.
authors.forename: Christopher
authors.initials: C
authors.lastname: Klem
authors.affiliation: Oxford University School of Medicine, Oxford, UK.
authors.forename: Daniel
authors.initials: D
authors.lastname: Coventry
mesh_terms: D000465:Algorithms; D005145:Face / Q000601:surgery*; D005147:Facial Bones / Q000293:injuries / Q000601:surgery*; D005151:Facial Injuries / Q000145:classification / Q000601:surgery*; D006801:Humans; D008866:Microsurgery / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps
keywords: Free flap; Malar; Maxilla; Microvascular; Midface; Orbit; Reconstruction