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Reconstruction of the Midface and Palate
Adam Bender-Heine1, Mark K Wax1
1Department Otolaryngology - Head and Neck Surgery, Oregon Health Sciences University, Portland, Oregon.
Seminars in Plastic Surgery
|May 12, 2020
Summary
Reconstructing complex midface defects is crucial for restoring function and appearance. This review covers surgical options and computer modeling for optimal maxillofacial reconstruction.
Area of Science:
- Maxillofacial Surgery
- Plastic Surgery
- Biomedical Engineering
Background:
- The midface is vital for physiological functions and homeostasis.
- Pathologic processes can necessitate midface removal, impacting function and aesthetics.
- Reconstruction is essential for orodental rehabilitation and social reintegration.
Purpose of the Study:
- To review reconstructive options for complex midface defects.
- To highlight surgical techniques for maximizing functional restoration.
- To discuss the role of computer modeling in reconstructive planning.
Main Methods:
- Literature review of reconstructive techniques for maxillofacial defects.
- Analysis of surgical approaches for functional and aesthetic restoration.
- Exploration of computer-aided design and manufacturing (CAD/CAM) in planning.
Main Results:
- Various surgical techniques exist for midface reconstruction, tailored to defect size and location.
- Functional outcomes are significantly improved with appropriate surgical intervention.
- Computer modeling aids in precise pre-operative planning and simulation.
Conclusions:
- Effective reconstruction of complex midface defects requires a multidisciplinary approach.
- Surgical expertise combined with advanced planning tools optimizes patient outcomes.
- Restoration of form and function is achievable through current reconstructive strategies.

