The Study of Immediate Reconstruction following Maxillectomy
Li Zu bing et al
Objective The aim of this study is to Present some new reconstructive options for
acquired maxillar defects of various dimension. Method and material A retrospective study
was made of 21 consecutive patients who underwent immediate reconstructive operation
following maxillectomy from 1989 to 1998.6 cases was repaired by palatal flap, 11 cases by
temporalis myofascial flap(TMF), 3 cases by buccal fat pad pedicled graft(BPF) and 1 case by
combined corone temporalis muscle pedicled flap. Result All cases underwent uneventful
healing with all flap alive. The uncovered BFP took about 2～3weeks to heal and its surface
became epithelialized with stratified squamous epithelium. The fascial muscle surface of TMF
epithelialized in the mouth spontaneously within 4～6 weeks without the need for skin graft
cover. The regenerated mucosa was keratinized with stratified squamous epithelium with
similar feature to the normal palate. Conclusion These flaps are useful for immediate
reconstuction of maxilla.
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