Modern oncologic maxillary reconstruction Journal Article


Authors: Morrison, E. J.; Matros, E.
Article Title: Modern oncologic maxillary reconstruction
Abstract: Learning Objectives: After studying this article, the participant should be able to: (1) Have a broad understanding of the oncological principles relating to cancers involving the maxilla. (2) Define anatomically the various types of maxillectomy defects and their associated morbidity. (3) Understand the goals and principles of maxillary reconstruction. (4) Demonstrate an understanding of the strengths, limitations, and alternative reconstructive options for the various types of maxillectomy defects. Summary: Reconstruction of the maxilla following cancer resection has evolved over the past decade. Underpinned by advances in virtual surgery technology and an increased focus on dental rehabilitation, more sophisticated workflows using free bone flaps have become more commonplace. There are few reconstructions anywhere in the body that require the restoration of similarly intricate bone and soft-tissue relations with implications for both form and function, like the maxilla. Success demands careful anatomical definition of the defect, an understanding of the goals and principles of reconstruction, and the understanding of relative strengths and limitations of the various reconstructive options. Equally, as no one technique is without shortcomings and maxillary surgery can be associated with a significant complication profile, it is just as important to match the patient and oncologic context to the reconstruction. This article is intended to provide the reader with a broad overview of these core factors. © 2024 American Society of Plastic Surgeons.
Keywords: plastic surgery; surgical flaps; transplantation; surgery; free tissue graft; maxilla; maxilla tumor; maxillary neoplasms; free tissue flaps; procedures; humans; human; plastic surgery procedures
Journal Title: Plastic and Reconstructive Surgery
Volume: 154
Issue: 3
ISSN: 0032-1052
Publisher: Lippincott Williams & Wilkins  
Date Published: 2024-09-01
Start Page: 601e
End Page: 618e
Language: English
DOI: 10.1097/prs.0000000000011476
PUBMED: 39196869
PROVIDER: scopus
DOI/URL:
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledge in PubMed and PDF -- Corresponding authors is MSK author: Evan Matros -- Source: Scopus
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  1. Evan Matros
    202 Matros