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CC BY-NC-ND 4.0 · Indian J Plast Surg 2020; 53(03): 324-334
DOI: 10.1055/s-0040-1721870
CME Article

Midface Reconstruction: Planning and Outcome

Gautam Biswas
1   Department of Plastic and Reconstructive Surgery, TATA Medical Center, Kolkata, West Bengal, India
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Abstract

Reconstruction of the complex anatomy and aesthetics of the midface is often a challenge. A careful understanding of this three-dimensional (3D) structure is necessary. Anticipating the extent of excision and its planning following oncological resections is critical.

In the past over two decades, with the advances in microsurgical procedures, contributions toward the reconstruction of this area have generated interest. Planning using digital imaging, 3D printed models, osseointegrated implants, and low-profile plates, has favorably impacted the outcome. However, there are still controversies in the management: to use single composite tissues versus multiple tissues; implants versus autografts; vascularized versus nonvascularized bone; prosthesis versus reconstruction.

This article explores the present available options in maxillary reconstruction and outlines the approach in the management garnered from past publications and experiences.

Keywords

midface - maxilla reconstruction - 3D planning - nasal reconstruction


Publication History

Article published online:
31 December 2020

© 2020. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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