Semin Plast Surg 2020; 34(02): 114-119
DOI: 10.1055/s-0040-1709143
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Prosthetic Reconstruction of the Maxilla and Palate

Christopher Pool
1  Department of Otolaryngology, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania
,
Tom Shokri
1  Department of Otolaryngology, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania
,
Aurora Vincent
2  Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
,
Weitao Wang
2  Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
,
Sameep Kadakia
3  Department of Plastic and Reconstructive Surgery, Wright State University, Dayton, Ohio
,
Yadranko Ducic
2  Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
06 May 2020 (online)

Abstract

Maxillary defects commonly present following surgical resection of oncologic processes. The use of rotational and free flaps has largely replaced the use of prosthetic options for hard palate and maxillary reconstruction, but prostheses remain a useful tool. Prosthetic devices may be invaluable in patients considered poor candidates for surgical reconstruction secondary to poor vascularity, need for postoperative radiation, or medical comorbidities that place them at high risk for healing following reconstruction. Obturators may also be considered over soft tissue options if oncologic surveillance via direct visualization of the surgical site is warranted.