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Facial Plast Surg 2020; 36(06): 696-702
DOI: 10.1055/s-0040-1721812
Original Article

Custom Presurgical Planning for Midfacial Reconstruction

Nolan B. Seim
1   Department of Otolaryngology – Head and Neck Surgery, The James Cancer Hospital and Solove Research Institute, The Ohio State University Wexner Medical Center, Columbus, Ohio
,
Enver Ozer
1   Department of Otolaryngology – Head and Neck Surgery, The James Cancer Hospital and Solove Research Institute, The Ohio State University Wexner Medical Center, Columbus, Ohio
,
Sasha Valentin
2   Department of Dentistry – Maxillofacial Prosthodontics, The Ohio State University Wexner Medical Center, Columbus, Ohio
,
Amit Agrawal
1   Department of Otolaryngology – Head and Neck Surgery, The James Cancer Hospital and Solove Research Institute, The Ohio State University Wexner Medical Center, Columbus, Ohio
,
Mead VanPutten
2   Department of Dentistry – Maxillofacial Prosthodontics, The Ohio State University Wexner Medical Center, Columbus, Ohio
,
Stephen Y. Kang
1   Department of Otolaryngology – Head and Neck Surgery, The James Cancer Hospital and Solove Research Institute, The Ohio State University Wexner Medical Center, Columbus, Ohio
,
Matthew O. Old
1   Department of Otolaryngology – Head and Neck Surgery, The James Cancer Hospital and Solove Research Institute, The Ohio State University Wexner Medical Center, Columbus, Ohio
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Abstract

Resection and reconstruction of midface involve complex ablative and reconstructive tools in head and oncology and maxillofacial prosthodontics. This region is extraordinarily important for long-term aesthetic and functional performance. From a reconstructive standpoint, this region has always been known to present challenges to a reconstructive surgeon due to the complex three-dimensional anatomy, the variable defects created, combination of the medical and dental functionalities, and the distance from reliable donor vessels for free tissue transfer. Another challenge one faces is the unique features of each individual resection defect as well as individual patient factors making each preoperative planning session and reconstruction unique. Understanding the long-term effects on speech, swallowing, and vision, one should routinely utilize a multidisciplinary approach to resection and reconstruction, including head and neck reconstructive surgeons, prosthodontists, speech language pathologists, oculoplastic surgeons, dentists, and/or craniofacial teams as indicated and with each practice pattern. With this in mind, we present our planning and reconstructive algorithm in midface reconstruction, including a dedicated focus on dental rehabilitation via custom presurgical planning.

Keywords

medical modeling - midface reconstruction - maxillectomy - dental rehabilitation - free tissue transfer - osseointegrated implants


Publication History

Article published online:
24 December 2020

© 2020. Thieme. All rights reserved.

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