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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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