Comprehensive approach to functional palatomaxillary reconstruction using regional and free tissue transfer: Report of reconstructive and prosthodontic outcomes of 140 patients

Background Palatomaxillary defects were historically restored with a prosthetic obturator; however, advances in local and free tissue transfer has provided a viable alternative for appropriately selected patients with palatomaxillary defects. Methods A retrospective chart review of patients who unde...

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Bibliographic Details
Published in:Head & neck 2018-08, Vol.40 (8), p.1639-1666
Main Authors: Urken, Mark L., Roche, Ansley M., Kiplagat, Kimberly J., Dewey, Eliza H., Lazarus, Cathy, Likhterov, Ilya, Buchbinder, Daniel, Okay, Devin J.
Format: Article
Language:English
Subjects:
classification
defect
Dental implants
Dental prosthetics
Dental restorative materials
Head and neck
palatomaxillary
prosthodontic
reconstruction
Rehabilitation
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Summary:Background Palatomaxillary defects were historically restored with a prosthetic obturator; however, advances in local and free tissue transfer has provided a viable alternative for appropriately selected patients with palatomaxillary defects. Methods A retrospective chart review of patients who underwent palatomaxillary reconstruction by the lead author between 1998 and 2016 was conducted. Patients who were restored with a palatal obturator were excluded. Results One hundred forty patients were reconstructed with a total of 159 local, regional, and free flaps with a 96.7% success rate. Seventy‐four patients (52.8%) underwent prosthodontic rehabilitation, with 183 implants placed and an 86% success rate. Conclusion Palatomaxillary reconstruction applying a systematic approach, using a multitude of techniques, is a safe and effective way to restore patients without compromising the ability to maintain surveillance. Prosthodontic rehabilitation can be achieved in a high percentage of patients using dental implants, leading to optimal aesthetic and functional results.
ISSN:1043-3074
1097-0347
DOI:10.1002/hed.25134