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Related Experiment Video

Updated: Jun 11, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
06:32

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

Maxillary reconstruction using microvascular free flaps.

Thomas Mücke1, Frank Hölzle, Denys John Loeffelbein

  • 1Department of Oral and Maxillofacial Surgery, Technische Universität München, Klinikum Rechts der Isar, München, Germany. th.mucke@gmx.de

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
|July 2, 2010
PubMed
Summary
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Maxillary reconstruction using microvascular free flaps offers successful functional and aesthetic restoration after tumor ablation. Bone-containing flaps enable complete dental rehabilitation, improving patient outcomes.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Plastic and Reconstructive Surgery
  • Oncology

Background:

  • Maxillectomy due to tumor ablation causes significant functional and aesthetic deficits.
  • Reconstructing the maxilla presents challenges despite available techniques and prosthodontic expertise.

Purpose of the Study:

  • To analyze outcomes of maxillary resections reconstructed with flap techniques.
  • To guide planning for patient rehabilitation following maxillary defects.

Main Methods:

  • Retrospective analysis of 83 patients with maxillary defects.
  • Reconstruction utilized various microvascular free flaps.
  • Clinical data on functional and aesthetic outcomes were analyzed.

Main Results:

Related Experiment Videos

Last Updated: Jun 11, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
06:32

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

  • Successful flap transfer in 80 of 83 patients.
  • Complete separation of oral and nasal cavities achieved in all cases.
  • Osseointegrated implants and dental rehabilitation yielded excellent results in 10 patients with bone-containing flaps.

Conclusions:

  • Microvascular free flaps enable successful reconstruction of diverse maxillary defects.
  • Successful reconstruction significantly improves facial appearance and oral function.
  • Bone-containing flaps (fibula, scapula, iliac crest) are crucial for comprehensive dental rehabilitation.