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Malignant tumors requiring maxillectomy.

A Yücel1, C Cinar, Y Aydin

  • 1Department of Plastic and Reconstructive Surgery, Cerrahpaŝa Medical Faculty, Istanbul University, Istanbul, Turkey. akinyucel@hotmail.com

The Journal of Craniofacial Surgery
|April 21, 2001
PubMed
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Maxillary resection for malignant tumors, often advanced squamous cell carcinoma, requires extensive surgery and reconstruction. Achieving free margins and proper defect evaluation are key for survival without recurrence.

Area of Science:

  • Oncology
  • Surgical Oncology
  • Maxillofacial Surgery

Background:

  • Malignant tumors of the midface, particularly those involving the maxilla, present complex treatment challenges.
  • Surgical resection is often necessary, leading to significant defects requiring reconstruction.

Purpose of the Study:

  • To review surgical management and outcomes for malignant midfacial tumors requiring maxillary resection.
  • To identify factors influencing survival and recurrence in these patients.

Main Methods:

  • Retrospective review of 70 patients undergoing maxillary resection for malignant tumors over 10 years.
  • Analysis of primary tumor sites, histopathology, surgical procedures, reconstruction methods, and adjuvant therapies.

Main Results:

Related Experiment Videos

  • Squamous cell carcinoma was the most common diagnosis (54%), often presenting as advanced or recurrent disease.
  • Extensive resections (e.g., orbital exenteration, craniofacial resection) were common, with major skin loss in most patients.
  • Reconstruction utilized pedicled and free flaps, with split-thickness skin grafts for sinus lining and obturators for palatal defects. Survival without recurrence was 63%.

Conclusions:

  • Complete tumor resection with free margins is crucial for successful treatment of midfacial malignancies.
  • Careful evaluation of surgical defects is essential for selecting appropriate reconstruction techniques.
  • Multidisciplinary management, including surgery and adjuvant therapies, improves patient outcomes.