Classification and reconstruction of 1 107 cases of maxillary defects / 北京大学学报(医学版)
Sen YU; Yang WANG; Chi MAO; Chuanbin GUO; Guangyan YU; Xin PENG.
Journal of Peking University(Health Sciences)
; (6): 509-513, 2015.
Artículo
en Zh
| WPRIM | ID: wpr-467768
Objective:
To investigate the defect types and reconstruction methods of maxillary defects.Methods:
The database of 1 107 cases with maxillary defects in Peking University School and Hospital of Stomatology from January 1985 to December 2010 was established. There construction methods were re-viewed. The defect types were classified according to Brown classification system.Results:
In the 1 107 cases, 1 104 cases could be classified according to Brown classification system. The most common type was 2a with 559 cases (50. 6%). Among all the 1 107 cases, 349 cases were reconstructed with auto-transplantation, 443 cases with prosthesis, 107 cases untreated, and 208 patients lost to the follow-up. There was a significant growing trend over time for the application of free flaps and a downward trend of prosthesis. The most popular free flaps were fibular flap (88 cases) and radial forearm flap (75 cases) . Rectus abdominis flap and anterolatreal thigh flap were fit for extensive maxillary defects.Conclusion:
The most common defect type is 2a. Free flap has become the dominant option for maxillary reconstruc-tion. Free flaps could be selected according to the maxillary defect types.
Biblioteca responsable:
WPRO
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