Int J Stomatol

Inter J Stomatol ›› 2017, Vol. 44 ›› Issue (5): 576-579.doi: 10.7518/gjkq.2017.05.016

• Original Articles • Previous Articles     Next Articles

Subtotal maxillary reconstruction using one vascularized fibular osteomyocutaneous flap segment through modified lateral lip-submandibular approach

Lou Huiquan, Wang Weihong, Xu Biao, Zhang Bojun.   

  1. Dept. of Oral and Maxillofacial Surgery, Affiliated Stomatological Hospital, Kunming Medical University, Kunming 650031, China
  • Received:2016-10-19 Revised:2017-04-11 Online:2017-09-01 Published:2017-09-01
  • Supported by:
    ; This study was supported by Program for Higher Health Technology Academic Leaders Project of Yunnan Province(D- 201233).

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Abstract: Objective This study demonstrates subtotal maxillary reconstruction using one vascularized fibular osteomyocutaneous flap segment through the modified lateral lip-submandibular approach.Methods Eleven patients who were suffering from subtotal maxillary defects and who underwent maxillary reconstruction using one vascularized fibular osteomyocutaneous flap segment through modified lateral lip-submandibular approach were reviewed. Results Healing courses were uneventful in all cases; furthermore, acceptable maxillomandibular relationship, mouth opening, and speech were assessed as normal in all cases. No long-term functional limitation of the lower limb was reported even though all complained of big toe dysfunction, which eventually developed to a claw toe deformity. Other complications, such as diplopia, ectropion, facial paralysis, and sensory numbness in the lower lip, did not occur.Conclusion Subtotal maxillary reconstruction using one vascularized fibular osteomyocutaneous flap segment through the modified lateral lip-submandibular approach is a feasible and acceptable technique because of multiple advantages.

Key words: subtotal maxillary reconstruction, modified lateral lip-submandibular approach, vascularized fibular flap, three-dimensional virtual technology

CLC Number: 

  • R622+.2

TrendMD: 
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