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Surgery of the Palatomaxillary Structure.

Ameya A Jategaonkar1, Vivian F Kaul1, Eric Lee1

  • 1Department of Otolaryngology - Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.

Seminars in Plastic Surgery
|May 12, 2020
PubMed
Summary

Surgical defects in the midface, specifically the palatomaxillary structure, cause significant deformity. This review covers anatomy, classification, and reconstructive options for palatomaxillary defects.

Keywords:
head and neck surgerymaxillectomymidface surgerypalate/palatal surgerypalatectomy

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Plastic Surgery
  • Anatomy

Background:

  • The palatomaxillary structure is vital for midface form and function.
  • Surgical defects in this area lead to considerable morbidity and deformity.
  • Existing classification systems aid in planning reconstruction and rehabilitation.

Purpose of the Study:

  • To review the functional and surgical anatomy of the palatomaxillary complex.
  • To discuss various palatomaxillary defect classification systems.
  • To provide an overview of available reconstructive options for these defects.

Main Methods:

  • Literature review of functional and surgical anatomy.
  • Analysis of existing palatomaxillary defect classification systems.
  • Synthesis of current reconstructive techniques.

Main Results:

  • Detailed anatomical review of the palatomaxillary complex.
  • Comparison of different defect classification approaches.
  • Summary of reconstructive modalities including prosthetics, local flaps, and free tissue transfer.

Conclusions:

  • Understanding palatomaxillary anatomy is crucial for defect assessment.
  • Appropriate classification guides reconstructive strategy selection.
  • A range of reconstructive options exists to restore form and function.