Primary reconstruction after total or extended total maxillectomy for maxillary cancer

Area of Science:

• Oncology
• Plastic Surgery
• Maxillofacial Surgery

Background:

• Maxillectomy for maxillary cancer often leads to severe facial deformity and functional deficits.
• Conventional surgical approaches present challenges in balancing oncologic resection with patient quality of life.

Purpose of the Study:

• To evaluate the efficacy of primary reconstructive procedures using deltopectoral flaps in patients undergoing maxillectomy for cancer.
• To assess the impact of this technique on postoperative cosmetic and functional outcomes, as well as long-term survival.

Main Methods:

• A cohort of 46 patients with maxillary cancer underwent primary reconstruction.
• The primary reconstructive technique involved the use of deltopectoral flaps, with or without bone grafting.
• Outcomes were assessed based on cosmetic appearance, functional status, and oncologic survival rates.

Main Results:

• The reconstructive procedures yielded fairly satisfactory cosmetic and functional results.
• Primary reconstruction facilitated sufficient resection of the maxilla and surrounding tissues.
• Long-term survival rates for maxillary cancer were evaluated and deemed acceptable.

Conclusions:

• Primary reconstruction with deltopectoral flaps is a valuable technique for managing maxillary cancer.
• This approach effectively addresses the challenges of facial deformity and functional impairment post-maxillectomy.
• The technique supports adequate oncologic resection while improving patient outcomes.