Related Experiment Video
Updated: Jun 20, 2026
06:32
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Palatomaxillary reconstruction with titanium mesh and radial forearm flap
Guowen Sun1, Xudong Yang, Enyi Tang
1Department of Oral and Maxillofacial Surgery, Stomatologic Hospital Affiliated Medical School, Nanjing University, Stomatologic Hospital of Nanjing, Nanjing, China. guowensun@yahoo.com
Summary
This study found that using titanium mesh and a radial forearm flap is a reliable method for palatomaxillary reconstruction. This approach effectively restores function and appearance in patients with palatomaxillary defects.
Area of Science:
- Oral and Maxillofacial Surgery
- Plastic Surgery
- Reconstructive Surgery
Background:
- Palatomaxillary defects pose significant challenges in reconstruction.
- Effective restoration of function and aesthetics is crucial for patient outcomes.
Purpose of the Study:
- To evaluate the treatment outcomes and prognosis of palatomaxillary reconstruction using titanium mesh and free radial forearm flaps.
Main Methods:
- A retrospective study of 19 patients with palatomaxillary defects.
- Immediate reconstruction involved titanium mesh for hard-tissue defects and radial forearm flap for soft-tissue repair.
Main Results:
- All patients achieved satisfactory facial appearance and functional speech.
- No oronasal reflux was observed in any patient.
- Titanium mesh exposure occurred in only 3 patients.
Conclusions:
- Free radial forearm flap combined with folded titanium mesh is a dependable choice for palatomaxillary defect reconstruction.
- This technique demonstrates high efficacy in swallowing and speech rehabilitation, alongside aesthetic improvements.
