Maxillectomies often result in anatomical defects that need to be reconstructed. In partial maxillectomies, the most significant defect is the formation of an oronasal or oral-antral fistula. This creates discomfort and needs to be addressed secondarily with local or regional flaps. Here, we describe a technique adopted in 8 patients in which limited maxillectomies are carried out in a way that preserves the nasal and sinus mucosa, preventing the formation of fistulas and allowing the use of flaps that would normally carry a high risk of fistula formation. Contemporary bone reconstruction with grafts was used in 2 patients. Sparing the sinus and nasal mucosa during maxillectomies is an easy, safe procedure that can prevent a number of complications and can be recommended in selected cases.
|Titolo:||Sinus lift access in partial maxillectomies|
|Settore Scientifico Disciplinare:||Settore MED/29 - Chirurgia Maxillofacciale|
|Data di pubblicazione:||mar-2014|
|Data ahead of print / Data di stampa:||29-ago-2012|
|Digital Object Identifier (DOI):||10.1016/j.oooo.2012.05.004|
|Appare nelle tipologie:||01 - Articolo su periodico|