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Related Experiment Video

Updated: May 28, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
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Mid-facial reconstruction after maxillectomy.

Yuhei Yamamoto1

  • 1Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Hokkaido University, Kita 14 Nishi 7, Sapporo 060-8638, Japan. yu-h1@med.hokudai.ac.jp

International Journal of Clinical Oncology
|September 2, 2005
PubMed
Summary
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Maxillectomy reconstruction requires careful assessment of skeletal and soft-tissue defects. Reconstructing key maxillary buttresses, like the zygomaticomaxillary buttress, ensures proper orbital and facial structure, crucial for head and neck cancer surgery outcomes.

Area of Science:

  • Head and Neck Surgery
  • Oral and Maxillofacial Surgery
  • Reconstructive Surgery

Background:

  • Extensive maxillectomy presents significant reconstructive challenges in head and neck cancer surgery.
  • Maxillary buttress reconstruction is a key principle for restoring function and aesthetics.
  • Defects require careful evaluation of both skeletal and soft-tissue components.

Purpose of the Study:

  • To emphasize the importance of maxillary buttress reconstruction in managing maxillectomy defects.
  • To highlight the role of specific buttress reconstructions in achieving functional and aesthetic outcomes.
  • To advocate for a rational approach based on critical defect assessment.

Main Methods:

  • Principles of maxillary buttress reconstruction applied to maxillectomy defects.

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  • Focus on reconstruction of the zygomaticomaxillary buttress (ZMB) and orbital floor.
  • Consideration of pterygomaxillary buttress (PMB) and nasomaxillary buttress (NMB) for specific defects.

    • Main Results:

    • ZMB reconstruction is vital for preventing eyeglobe malposition and preserving orbital contents.
    • ZMB reconstruction contributes to restoring malar prominence and facial contour.
    • PMB reconstruction offers essential support for dental prosthesis fitting.
    • PMB and NMB reconstruction prevent alar base and oral commissure deviation in extensive resections.

    Conclusions:

    • Critical assessment of skeletal and soft-tissue defects is essential for successful maxillectomy reconstruction.
    • Targeted reconstruction of maxillary buttresses ensures optimal functional and aesthetic results.
    • A rational, defect-specific approach leads to satisfactory clinical outcomes in head and neck cancer surgery.