Primary reconstruction after total or extended total maxillectomy for maxillary cancer

Conventional total and extended total maxillectomy for maxillary cancer have frequently brought about severe facial deformity and functional impairment. To minimize these postoperative problems, we have applied primary reconstructive procedures utilizing chiefly the deltopectoral flap with or without bone grafting in 46 patients. The results were fairly satisfactory judging not only from postoperative cosmetic and functional viewpoints but also from evaluation of long-term survival rate of maxillary cancer. Primary reconstruction was most advantageous because it allowed sufficient resection of the maxilla and surrounding tissue without much regard for postoperative problems. Indications and details of our reconstructive procedures were described and discussed.