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Titolo:
SECONDARY RECONSTRUCTION OF UPPER MIDFACE AND ORBIT AFTER TOTAL MAXILLECTOMY
Autore:
POLLICE PA; FRODEL JL;
Indirizzi:
UNIV NEW MEXICO,HLTH SCI CTR,DEPT SURG,DIV OTOLARYNGOL & PLAST SURG,2211 LOMAS BLVD NE ALBUQUERQUE NM 87131 JOHNS HOPKINS UNIV HOSP,DEPT OTOLARYNGOL HEAD & NECK SURG BALTIMORE MD 21287
Titolo Testata:
Archives of otolaryngology, head & neck surgery
fascicolo: 7, volume: 124, anno: 1998,
pagine: 802 - 808
SICI:
0886-4470(1998)124:7<802:SROUMA>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
TEMPOROPARIETAL FASCIAL FLAP; DEFECTS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
9
Recensione:
Indirizzi per estratti:
Citazione:
P.A. Pollice e J.L. Frodel, "SECONDARY RECONSTRUCTION OF UPPER MIDFACE AND ORBIT AFTER TOTAL MAXILLECTOMY", Archives of otolaryngology, head & neck surgery, 124(7), 1998, pp. 802-808

Abstract

Objective: To evaluate the aesthetic and functional results of secondary reconstruction of the upper midface and lower orbit following globe-sparing maxillectomy. Design: Retrospective analysis. Setting: University medical center. Patients: Six patients, all having previously undergone globe-sparing maxillectomies with or without postoperative radiotherapy, were selected for secondary reconstruction of the upper midface. Intervention: Free calvarial bone grafts (CBGs) alone or in conjunction with alloplastic material were used to reconstruct the upper midface and lower orbit both aesthetically and functionally. Bone grafts were secured using lag screw and nonrigid techniques. Pedicled temporoparietal fascia (TPF) flaps provided coverage of the reconstructionsand internal lining of the maxillectomy cavity. Outcome Measures: Aesthetic and functional results of upper midface and lower orbit as determined by preoperative and postoperative photographs and physical examination. Results: All patients had considerable improvement in upper midfacial contours. All patients had improvement of globe position. Patients with diplopia before reconstruction noted improvement after reconstruction, although 1 patient continued to have moderate diplopia. Complications included persistent globe malposition, persistent diplopia, bone graft resorption, partial loss of 1 TPF flap, need for revisionsurgery, and subjectively worsened appearance in 1 patient. Conclusions: Reconstruction with CBGs, alloplastic material, and TPF may reliably, effectively, and efficiently rehabilitate the functional and aesthetic upper midfacial deficits of select patients with secondary reconstruction after globe-sparing maxillectomy. However, patients with evidence of excessive scarring may benefit more from free-tissue transfer reconstruction.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/10/20 alle ore 19:26:15