Reconstruction of massive orbito-maxillary-cheek defects

Area of Science:

• Oral and Maxillofacial Surgery
• Plastic and Reconstructive Surgery
• Oncology

Background:

• Radical resection of the maxilla, orbit, and cheek presents significant soft-tissue reconstruction challenges.
• Previous or planned radiation therapy complicates reconstruction, impacting outcomes.
• Restoring oral competence is critical but difficult without adequate support.

Purpose of the Study:

• To present an orderly, multistaged reconstructive plan for complex head and neck defects.
• To evaluate the efficacy of a deltopectoral flap in soft-tissue reconstruction following radical maxilla, orbit, and cheek resection.

Main Methods:

• A multistaged surgical approach was employed.
• Deltopectoral flaps were utilized for soft-tissue reconstruction.
• The procedure was performed on 7 patients with extensive oncologic resections.

Main Results:

• The presented reconstructive plan demonstrated a high success rate.
• The deltopectoral flap technique facilitated restoration of oral competence.
• Successful reconstruction was achieved in all 7 patients.

Conclusions:

• A structured, multistaged approach using deltopectoral flaps is effective for complex maxilla, orbit, and cheek reconstruction.
• This method addresses challenges posed by radiation therapy and restores function.
• The technique provides a reliable solution for patients requiring extensive head and neck reconstruction.