Primary reconstruction after total maxillectomy for maxillary cancer.

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We present two patients with maxillary cancer who had facial reconstruction immediately after total maxillectomy. In the first case, Killian-Hoshino's incisional skin line was delineated and total maxillectomy was performed. The orbital floor was reconstructed by free iliac bone graft, and the raw surface was covered with a delayed D-P flap. The second patient has maxillectomy with two skin incisional lines, which are used in lateral rhinotomy and face lift. The orbital content was supported by fascia lata in the shape of a hammock. The raw surface was covered by a free forearm flap. This skin incision gave a more adequate operative field, and a better cosmetic result by preserving the upper lip. We discuss the skin incision line, material for orbital floor reconstruction, and choice of covering the raw surface after maxillectomy.
耳鼻咽喉科臨床学会の論文