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Reconstructive options for maxillary defects

L K Cheung1, N Samman, H Tideman

  • 1Department of Oral and Maxillofacial Surgery, University of Hong Kong.

Annals of the Royal Australasian College of Dental Surgeons
|April 1, 1994
PubMed
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Maxillary reconstruction uses advanced tissue flaps to restore function and appearance after defects. This review details local and distant flap options for successful rehabilitation and dental implant placement.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Plastic and Reconstructive Surgery
  • Dental Implantology

Background:

  • Acquired maxillary defects present challenges in restoring appearance, speech, and occlusion.
  • Traditional reconstructive methods faced limitations in achieving optimal functional and aesthetic outcomes.
  • Advancements in tissue flap techniques offer improved solutions for maxillary reconstruction.

Purpose of the Study:

  • To review local and distant tissue flaps for reconstructing acquired maxillary defects.
  • To emphasize bony reconstruction for anatomical alveolar ridge restoration.
  • To discuss rehabilitation of occlusal function with dental implants.

Main Methods:

  • Review of literature on local tissue flaps (palate, cheek, tongue, buccal fat pad).

Related Experiment Videos

  • Evaluation of distant flaps including temporalis myofascial, pedicled cutaneous/myocutaneous, and free flaps.
  • Analysis of bony reconstruction techniques for alveolar ridge restoration.

    • Main Results:

    • Various local and distant flaps are available for maxillary defect reconstruction.
    • Successful reconstruction can restore appearance, speech, and occlusion.
    • Bony reconstruction is crucial for supporting dental implants and occlusal rehabilitation.

    Conclusions:

    • Modern reconstructive techniques, particularly tissue flaps, have overcome many challenges in maxillary rehabilitation.
    • A comprehensive understanding of flap options enables tailored treatment for diverse maxillary defects.
    • Restoration of the alveolar ridge is key for successful dental implant outcomes in maxillary reconstruction.