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Maxillectomy defects: a suggested classification scheme.

V I Akinmoladun1, O O Dosumu2, A A Olusanya3

  • 1Department of Oral and Maxillofacial Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria. viakinmoladun@yahoo.com

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Summary

A standardized classification for maxillectomy defects is needed due to the variety of procedures and diseases. This review highlights the lack of a universal system and proposes a new, comprehensive classification for better communication.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Reconstructive Surgery
  • Prosthodontics

Background:

  • The term "maxillectomy" encompasses diverse surgical procedures for various diseases affecting the mid-facial region.
  • Current classifications of maxillectomy defects are inconsistent, hindering clear communication among healthcare professionals.
  • A uniform classification system is essential for effective management of mid-facial diseases.

Purpose of the Study:

  • To highlight the communication challenges arising from the lack of a standardized maxillectomy defect classification.
  • To emphasize the need for a simple, comprehensive, and universally accepted classification system.
  • To propose a novel classification system integrating surgical and prosthetic considerations.

Main Methods:

  • A comprehensive literature search was conducted using Google, Scopus, and PubMed with keywords "maxillectomy defects classification."
  • Manual searches of relevant literature were also performed to identify existing classifications.
  • The review focused on classifications from descriptive, reconstructive, and prosthodontic viewpoints.

Main Results:

  • No globally accepted classification for maxillectomy defects currently exists among practitioners.
  • Over 14 different classifications for maxillary defects were identified in the English literature.
  • Existing classification attempts have often resulted in overly complex or cumbersome systems.

Conclusions:

  • Previous attempts to classify maxillectomy defects have led to complex systems.
  • A single, unified classification system is highly desirable for improved clinical practice.
  • A proposed classification based on both surgical and prosthetic aspects offers a more desirable solution.