The reconstruction of maxillectomy defects is a complex problem encountered in plastic surgery. Defects can range in size and complexity from small defects requiring only soft tissue to complete maxillectomies requiring large tissue bulk, bone, and one or more skin paddles. The most difficult defects involve the skull base and orbit. The reconstructive surgeon is faced with the challenge of iso...

INTRODUCTION Maxillary defects are usually rehabilitated by a prosthetic obturator. OBJECTIVE This study aimed to evaluate the functioning of obturators prosthesis in patients with unilateral defects after maxillectomy. METHODS Of 49 patients, 28 underwent to maxillectomy as a result of tumor ablative surgery, and acquired unilateral maxillary defects. Evaluation of the function was perform...

Oral Health Related Quality of Life is an important component in the treatment of a patient. Patients with multiple impairments have a compromised quality of life, which is further worsened by ablative maxillary surgery. A properly made oral prosthesis aids in the daily life functions and therefore, has a positive impact on the quality of life of the patient. This article discusses a case in wh...

Adenocarcinomas of various types comprise 10 to 20% of all primary malignant neoplasms of the nasal cavity and paranasal sinuses. They are thought to originate from seromucous glands of the nasal cavity and paranasal sinuses as well as the surface epithelium. Long-term prognosis is poor and patients usually die due to local spread with no metastasis. This clinical report describes a method for ...

OBJECTIVE Assess paranasal sinus distribution of topical solutions following endoscopic sinus surgery (ESS) using various delivery devices. STUDY DESIGN Experimental prospective study. SUBJECTS AND METHODS Ten cadaver sinus systems were irrigated with Gastroview before surgery, after ESS, and after medial maxillectomy. Delivery was via pressurized spray (NasaMist), neti pot (NasaFlo), and s...

Keratocystic odontogenic tumor (KCOT) is one of the benign developmental odontogenic cystic lesions arising from impacted teeth. In comparison to other odontogenic cysts, such as radicular cysts and dentigerous cysts, KCOT is known to be more aggressive and is associated with a relatively high recurrence rate. Traditionally, KCOT has been treated with total resection through sublabial incision....

Bisphosphonates (BP) are a type of drug known to inhibit bone resorption through complex interventions. Their primary mechanism of action is aimed at the cellular level, inhibiting osteoclast activity and so bone resorption. BPs are widely used, with many patients receiving continuous treatment for years. But it is well known that these drugs can produce osteonecrosis of the jaw (ONJ). Zoledron...

OBJECTIVES Head and neck reconstruction is still challenging in terms of esthetic and functional outcomes. This study investigated the feasibility of the angular branch-based scapular tip free flap (STFF). METHODS This was a retrospective study of 17 patients undergoing maxillectomy and mandibulectomy and either primary or secondary reconstruction by STFF. This study included surgical, esthet...