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.
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.
Authors: Hongyang Ma; Jeroen Van Dessel; Sohaib Shujaat; Michel Bila; Yi Sun; Constantinus Politis; Reinhilde Jacobs Journal: Int J Implant Dent Date: 2022-04-05
Authors: Johannes N Lodders; Gustaaf J C van Baar; Marije R Vergeer; Femke Jansen; Engelbert A J M Schulten; Birgit I Lissenberg-Witte; Irma M Verdonck-de Leeuw; Tymour Forouzanfar; Frank K J Leusink Journal: Support Care Cancer Date: 2022-03-17 Impact factor: 3.359
Authors: N Vosselman; H H Glas; S A H J de Visscher; J Kraeima; B J Merema; H Reintsema; G M Raghoebar; M J H Witjes Journal: Int J Implant Dent Date: 2021-06-14