4 results match your criteria Midface and Palatomaxillary Reconstruction

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Palatomaxillary Reconstruction: Fibula or Scapula.

Semin Plast Surg 2020 May 6;34(2):86-91. Epub 2020 May 6.

Department of Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, New York.

Palatomaxillary reconstruction presents a unique challenge for the reconstructive surgeon. The maxillofacial skeleton preserves critical aerodigestive functions-it provides a stable hard palate to support mastication and separate the nasal and oral cavities, and buttress support to provide adequate midface contour. Free tissue transfer has become a routine part of the reconstructive ladder in managing palatomaxillary defects. Read More

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Surgery of the Palatomaxillary Structure.

Semin Plast Surg 2020 May 6;34(2):71-76. Epub 2020 May 6.

Department of Otolaryngology - Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.

The palatomaxillary structure plays critical roles in both form and function of the midface. Surgical defects of the palate and maxilla can be associated with significant morbidity and deformity. Various defect classification systems have been used to assist in reconstruction and rehabilitation. Read More

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Management of orbital complications in palatomaxillary reconstruction: A review of preemptive and corrective measures.

Head Neck 2020 03 13;42(3):556-568. Epub 2019 Dec 13.

THANC (Thyroid, Head and Neck Cancer) Foundation, New York, New York.

Background: Reconstruction of orbit-sparing palatomaxillary defects requires consideration of globe dystopia, orbital volume, eyelid position and function, and the nasolacrimal system to preserve and optimize vision, globe protection, and appearance. We describe the fundamentals of orbital and eyelid anatomy, common orbital complications related to palatomaxillary reconstruction, and preemptive and corrective surgical techniques to be utilized during and after globe-sparing palatomaxillary reconstruction.

Methods: We present a review of the literature supplemented by clinical case examples. Read More

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Orbitomaxillary reconstruction using the layered fibula osteocutaneous flap.

Arch Facial Plast Surg 2012 Mar-Apr;14(2):110-5

Division of Facial Plastic and Reconstructive Surgery, Head and Neck Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

Objective: To describe a surgical technique for total palatomaxillary and orbital reconstruction using a fibula osteocutaneous free flap in a layered fashion.

Methods: Case series from a tertiary care facial plastic and reconstructive surgical practice including patients with postextirpative Brown 3a and 3b orbitopalatomaxillary defects undergoing immediate microvascular reconstruction. Application of the layered fibula free flap to composite maxillary defects permits single-stage, optimal reconstruction of contiguous orbitomaxillary defects, reconstitution of midface 3-dimensional contour, and restoration of the anterior alveolar arch with robust bone, thereby providing for potential sequential dental rehabilitation with osseointegrated implants. Read More

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