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Maxillary reconstruction using rectus abdominis free flap and bone grafts
Bernardo Bianchi1, Federica Bertolini, Silvano Ferrari
1Divisione di Chirurgia Maxillo-Facciale, Ospedale Maggiore, Via Gramsci, 14-43100 Parma (Pr), Italy.
The British Journal of Oral & Maxillofacial Surgery
|December 27, 2005
Summary
Maxillectomy cancer reconstruction using rectus abdominis free flaps and bone grafts yielded satisfactory functional and aesthetic outcomes. This single-stage technique reliably restores complex facial anatomy after maxilla and orbital floor excision.
Area of Science:
- Oral and Maxillofacial Surgery
- Plastic and Reconstructive Surgery
- Oncology
Background:
- Total maxillectomy for cancer necessitates complex facial reconstruction.
- Restoring both function and aesthetics after extensive maxillary resection is challenging.
Purpose of the Study:
- To evaluate the efficacy of rectus abdominis free flaps with non-vascularized bone grafts for facial reconstruction after total maxillectomy.
- To assess the functional and aesthetic outcomes of this reconstructive technique.
Main Methods:
- Performed total maxillectomies for cancer on 22 patients.
- Reconstructed the maxilla and orbital floor defects using rectus abdominis free flaps combined with non-vascularized bone grafts.
Main Results:
- Achieved satisfactory functional and aesthetic results in all 22 patients.
- Demonstrated the reliability and safety of the one-stage reconstruction technique.
- Successfully reconstructed complex three-dimensional facial anatomy.
Conclusions:
- Rectus abdominis free flap with non-vascularized bone grafts is a useful and effective technique for post-maxillectomy reconstruction.
- This method provides stable functional and aesthetic outcomes for complex facial defects.
- Offers a reliable, safe, single-stage solution for challenging oncological resections.