Download PDF
Semin Plast Surg 2020; 34(02): 071-076
DOI: 10.1055/s-0040-1709430
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Surgery of the Palatomaxillary Structure

Ameya A. Jategaonkar
1   Department of Otolaryngology – Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York
,
Vivian F. Kaul
1   Department of Otolaryngology – Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York
,
Eric Lee
1   Department of Otolaryngology – Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York
,
Eric M. Genden
1   Department of Otolaryngology – Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York
› Author Affiliations Funding No financial disclosures.
Further Information

Publication History

Publication Date:
06 May 2020 (online)

Also available at
   Permissions and Reprints

Abstract

The palatomaxillary structure plays critical roles in both form and function of the midface. Surgical defects of the palate and maxilla can be associated with significant morbidity and deformity. Various defect classification systems have been used to assist in reconstruction and rehabilitation. Reconstructive options include prosthetic rehabilitation, local flaps, and free tissue transfer. Here, we review the functional and surgical anatomy of the palatomaxillary complex, defect classification systems, and provide an overview of reconstructive options.

Keywords

head and neck surgery - maxillectomy - palatectomy - palate/palatal surgery - midface surgery
 

  • References

  • 1 McGuirt WF. Maxillectomy. Otolaryngol Clin North Am 1995; 28 (06) 1175-1189
    CrossrefPubMedGoogle Scholar
  • 2 Harrison DF. The management of malignant tumors of the nasal sinuses. Otolaryngol Clin North Am 1971; 4 (01) 159-177
    CrossrefPubMedGoogle Scholar
  • 3 Smith RR, Klopp CT, Williams JM. Surgical treatment of cancer of the frontal sinus and adjacent areas. Cancer 1954; 7 (05) 991-994
    CrossrefPubMedGoogle Scholar
  • 4 Maniglia AJ. Indications and techniques of midfacial degloving. A 15-year experience. Arch Otolaryngol Head Neck Surg 1986; 112 (07) 750-752
    CrossrefPubMedGoogle Scholar
  • 5 Likhterov I, Roche AM, Urken ML. Contemporary osseous reconstruction of the mandible and the maxilla. Oral Maxillofac Surg Clin North Am 2019; 31 (01) 101-116
    CrossrefPubMedGoogle Scholar
  • 6 Bidra AS, Jacob RF, Taylor TD. Classification of maxillectomy defects: a systematic review and criteria necessary for a universal description. J Prosthet Dent 2012; 107 (04) 261-270
    CrossrefPubMedGoogle Scholar
  • 7 Brown JS, Rogers SN, McNally DN, Boyle M. A modified classification for the maxillectomy defect. Head Neck 2000; 22 (01) 17-26
    CrossrefPubMedGoogle Scholar
  • 8 Okay DJ, Genden E, Buchbinder D, Urken M. Prosthodontic guidelines for surgical reconstruction of the maxilla: a classification system of defects. J Prosthet Dent 2001; 86 (04) 352-363
    CrossrefPubMedGoogle Scholar
  • 9 Chigurupati R, Aloor N, Salas R, Schmidt BL. Quality of life after maxillectomy and prosthetic obturator rehabilitation. J Oral Maxillofac Surg 2013; 71 (08) 1471-1478
    CrossrefPubMedGoogle Scholar
  • 10 Genden EM, Okay D, Stepp MT. , et al. Comparison of functional and quality-of-life outcomes in patients with and without palatomaxillary reconstruction: a preliminary report. Arch Otolaryngol Head Neck Surg 2003; 129 (07) 775-780
    CrossrefPubMedGoogle Scholar
  • 11 Genden EM, Lee BB, Urken ML. The palatal island flap for reconstruction of palatal and retromolar trigone defects revisited. Arch Otolaryngol Head Neck Surg 2001; 127 (07) 837-841
    PubMedGoogle Scholar
  • 12 Genden EM, Buchbinder D, Urken ML. The submental island flap for palatal reconstruction: a novel technique. J Oral Maxillofac Surg 2004; 62 (03) 387-390
    CrossrefPubMedGoogle Scholar
  • 13 Swartz WM, Banis JC, Newton ED, Ramasastry SS, Jones NF, Acland R. The osteocutaneous scapular flap for mandibular and maxillary reconstruction. Plast Reconstr Surg 1986; 77 (04) 530-545
    CrossrefPubMedGoogle Scholar
  • 14 Shipchandler TZ, Waters HH, Knott PD, Fritz MA. Orbitomaxillary reconstruction using the layered fibula osteocutaneous flap. Arch Facial Plast Surg 2012; 14 (02) 110-115
    CrossrefPubMedGoogle Scholar
  • 15 Okay DJ, Buchbinder D, Urken M, Jacobson A, Lazarus C, Persky M. Computer-assisted implant rehabilitation of maxillomandibular defects reconstructed with vascularized bone free flaps. JAMA Otolaryngol Head Neck Surg 2013; 139 (04) 371-381
    CrossrefPubMedGoogle Scholar
  • 16 Cordeiro PG, Santamaria E. A classification system and algorithm for reconstruction of maxillectomy and midfacial defects. Plast Reconstr Surg 2000; 105 (07) 2331-2346 , discussion 2347–2348
    CrossrefPubMedGoogle Scholar