Pool Christopher, Shokri Tom, Vincent Aurora, Wang Weitao, Kadakia Sameep, Ducic Yadranko
Department of Otolaryngology, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania.
Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas.
Semin Plast Surg. 2020 May;34(2):114-119. doi: 10.1055/s-0040-1709143. Epub 2020 May 6.
Maxillary defects commonly present following surgical resection of oncologic processes. The use of rotational and free flaps has largely replaced the use of prosthetic options for hard palate and maxillary reconstruction, but prostheses remain a useful tool. Prosthetic devices may be invaluable in patients considered poor candidates for surgical reconstruction secondary to poor vascularity, need for postoperative radiation, or medical comorbidities that place them at high risk for healing following reconstruction. Obturators may also be considered over soft tissue options if oncologic surveillance via direct visualization of the surgical site is warranted.
上颌骨缺损常见于肿瘤手术切除之后。旋转皮瓣和游离皮瓣的使用在很大程度上已取代了用于硬腭和上颌骨重建的假体修复,但假体仍然是一种有用的工具。对于因血运差、术后需要放疗或存在合并症而被认为手术重建风险高的患者,假体装置可能具有极高的价值。如果需要通过直接观察手术部位进行肿瘤监测,相比于软组织修复方案,也可考虑使用阻塞器。