engleski

Reconstruction following radical maxillectomy with flaps supplied by the subscapular artery

Based on our experience with radical maxillectomy patients, it is our opinion that free flap reconstruction of the total maxillectomy defects gives superior functional and aesthetic results than conventional methods of reconstruction. Our first choice for the reconstruction is a scapula bone flap raised on the angular artery combined with the latissimus dorsi flap. With this combination of flaps, raised on the same vascular pedicle, it is possible to customize the flap to the individual patient's needs. For intraoral closure we prefer the latissimus dorsi muscle which after epithelization and atrophy rarely requires seconday procedures for placement of a prosthesis. The main disadvantage of the flap is the difficulty of dual team working. All postoperative corrections and prosthetic rehabilitaion shoud be postponed for at least two months as a result of post operative swelling.

microvascular reconstruction; maxillectomy

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