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[Application of different flaps in immediate reconstruction of maxillary defect]
Bo Yu1, Li-sheng He, Yan-pu Liu
1Department of Oral and Maxillofacial Surgery, Stomatological College, Fourth Military Medical University, Xi'an, Shaanxi, P. R. China 710032.
Objective:
To investigate the method and clinical effect of temporal fascia flap, free forearm flap, free iliac bone transfer and immediate implant on reconstruction of maxillary defect.
Methods:
From February 1999 to July 2002, 8 cases of maxillary defects due to excision of cancer were repaired immediately with temporal fascia flap, free forearm flap, free iliac bone transfer and implant. Out of 8 patients, there were 6 males and 2 females, aged 32-49 years, with a disease course of 3 months to 2 years.
Results:
Free iliac bone and forearm flap survived in all 8 cases. Osseo-integration could be seen and the implants could be used for denture repair and chew function. After 6-12 months, X-ray examination showed iliac bone healing; facial shape and functional restoration were satisfactory.
Conclusion:
Temporal fascia flap, free forearm flap, free iliac bone transfer and immediate implant is an ideal method to repair maxillary defect immediately and reconstruct its function.