Microvascular reconstruction of oncologic defects of the midface Journal Article


Authors: McCarthy, C. M.; Cordeiro, P. G.
Article Title: Microvascular reconstruction of oncologic defects of the midface
Abstract: Reconstruction of a midfacial defect can represent a formidable challenge for the reconstructive surgeon. Attesting to both the variety and the complexity of midfacial defects, numerous different classification schemes have been proposed, and are reviewed in this article. The approach to reconstruction can be simplified, however, by classifying maxillectomy defects into four types. Understanding the complex three-dimensional anatomy of the maxilla and its relationship to contiguous structures is the first step in approaching reconstruction of the midface. Achieving basic functional and aesthetic goals of maxillary reconstruction can be achieved using free flap reconstruction with good reliability and predictability in the majority of patients. A specific approach to each defect type is outlined. Copyright © 2010 by the American Society of Plastic Surgeons.
Keywords: bone transplantation; reconstructive surgical procedures; review; plastic surgery; surgical flaps; methodology; facial neoplasms; pathology; microsurgery; vascularization; algorithms; algorithm; maxilla; skin transplantation; face tumor; maxilla tumor; maxillofacial surgery; orbit; maxillary neoplasms; maxillofacial prosthesis implantation
Journal Title: Plastic and Reconstructive Surgery
Volume: 126
Issue: 6
ISSN: 0032-1052
Publisher: Lippincott Williams & Wilkins  
Date Published: 2010-12-01
Start Page: 1947
End Page: 1959
Language: English
DOI: 10.1097/PRS.0b013e3181f446f1
PROVIDER: scopus
DOI/URL:
Notes: --- - "Export Date: 20 April 2011" - "CODEN: PRSUA" - "Source: Scopus"
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  1. Peter G Cordeiro
    288 Cordeiro
  2. Colleen Marie McCarthy
    144 McCarthy