Seminars in Plastic Surgery 2019; 33(01): 030-037
DOI: 10.1055/s-0039-1677701
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Free Flap Reconstruction of the Maxilla

Aurora Vincent
1  Otolaryngology, Head and Neck Surgery, Madigan Army Medical Center, Tacoma, Washington
,
Jason Burkes
2  Maxillofacial Oncology and Microvascular Reconstructive Surgery, John Peter Smith Hospital, Fort Worth, Texas
,
Fayette Williams
2  Maxillofacial Oncology and Microvascular Reconstructive Surgery, John Peter Smith Hospital, Fort Worth, Texas
,
Yadranko Ducic
3  Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
08 March 2019 (online)

Abstract

Tumors of the maxilla and midface are some of the most difficult to manage, not only in terms of treatment but also in terms of achieving acceptable orofacial reconstruction. Today, free flaps dominate the reconstructive field. Many patients can achieve successful reconstruction after free flap transfer with a return of intelligible speech, a regular diet, and acceptable cosmesis. Herein, the authors review free flap reconstruction of the maxilla, with a focus on the classifications of defects, when obturators are appropriate, types and sources of free flaps, and complications for which to beware.