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[Surgical prosthetic restoration after bilateral maxillectomy]
G H Timoşca1, D Gogălniceanu, P Streba
1Clinica de Chirurgie maxilo-facială Iaşi.
Summary
This study addresses surgical reconstruction for extensive facial tumors, focusing on tumor removal and rebuilding facial structures. Maxillofacial reconstruction with obturator prostheses successfully restored form and function in six patients.
Area of Science:
- Oral and Maxillofacial Surgery
- Plastic Surgery
- Oncology
Background:
- Tumors originating from the palatal and gingivo-alveolar regions can present significant challenges due to their invasive nature and potential to affect facial structures.
- Reconstruction following tumor resection requires addressing massive substance loss, ocular globe support, and restoration of soft palate function.
Observation:
- The study involved six cases of tumors (two benign, four malignant T4 stage) with palatal and gingivo-alveolar origins and invasive growth.
- Surgical management included tumor exeresis, reconstruction using temporalis muscle flaps, nasal septum, skin grafts, and soft palate repair.
Findings:
- The surgical approach successfully supported the ocular globe and reconstructed soft tissue defects.
- Obturator prostheses played a crucial role in maxillofacial reconstruction, preventing morphofunctional deficits and restoring facial contour.
- All six cases demonstrated satisfactory outcomes in terms of function and aesthetics.
Implications:
- This reconstructive strategy, combined with obturator prostheses, offers a viable solution for complex maxillofacial defects.
- Effective reconstruction minimizes aesthetic and psychological impacts on patients undergoing extensive tumor surgery.
- The findings highlight the importance of a multidisciplinary approach in managing large facial tumors and achieving optimal patient recovery.