Maxillary Reconstruction
Maxillary reconstruction after tumor resection or rarely after trauma or infections can be carried out. Although technically demanding autologous tissue utilized for reconstruction has immense advantage over obturators generally used for plugging maxillary defects. Obturators need frequent maintenance. Post operative radiotherapy after tumor resection may not go very well with obturator use. various flaps have been used to reconstruct maxillary defects. Soft tissue reconstruction alone can be done but over time atrophy of these flaps lead to undesirable outcomes. In addition dental implants can not be placed in soft tissue flaps.The ideal reconstruction for maxilla would be a bone flap with accompanying soft tissue. Bone flaps provide good contour to the face and most importantly dental implants can be placed in bone flaps carrying good bone stock.
Right sided Maxillectomy defect after resection of Squamous cell Carcinoma[SCC]
3D CT showing the maxillary defect.
Contra-lateral Scapular Tip[Myo-osseous Flap] harvested.
Divided flap just before insetting and anastomosis.
well healed mucosalised flap after 01 month Post surgery.
Basal 3D view showing the well inset scapular Tip.
cross sectional and coronal view,showing scapular bone.
short video clip showing inset flap after vascular anastomosis.
