Reconstruction of a Complicated Maxillary Defect in a Patient with Salvage Radical Maxillectomy

Shao-Cheng Liu ； Wan-Fu Su ； Shyi-Gen Chen

《Journal of Medical Sciences》 33卷1期 (2013/02) Pp. 45-48

https://doi.org/10.6136/JMS.2013.33(1).045

並列摘要

The aims of this paper are to show the management of osteoradionecrosis and tumor recurrence on the reconstruction flap after maxillectomy and to describe the ideal flaps for reconstruction. A 50-year-old male with post-operative recurrent squamous cell carcinoma of the right maxillary sinus and post-radiotherapy osteoradionecrosis is presented. Salvage radical excision followed by reconstruction with combined free anterolateral thigh (ALT) flap and pedicled pectoralis major myocutaneous (PMMC) flap is introduced. Uneventful recovery with excellent structural support and aesthetic result are achieved. There is no tumor recurrence during a 7-year follow-up. Although less encouraging results are found in recurrent advanced sinonasal malignancies, with a frustratingly low 5-year survival rate, radical surgical excision still has a role in curing the disease. The consequent facial disfigurement, the most important concern of patients, can be managed by reconstruction with combined free ALT flap and pedicled PMMC flap with excellent outcome.

並列關鍵字

anterolateral thigh flap ； pectoralis major flap ； recurrent maxillary cancer ； osteoradionecrosis

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