Journal of Prosthetic Dentistry
Volume 86, Issue 6 , Pages 578-581, December 2001

Conventional prosthetic rehabilitation after free flap reconstruction of a maxillectomy defect: A clinical report☆☆

The University of Texas Health Science Center at San Antonio, Texas

Abstract 

Microvascular free flap reconstruction of maxillectomy defects has been advocated as a more desirable treatment option than conventional prosthetic rehabilitation. Free flap reconstruction can successfully separate the oral and sinonasal cavities, but the reconstructed defect may not improve the treatment outcome when compared with conventional prosthetic rehabilitation of a nonsurgically reconstructed defect. In this report, the prosthetic management of a patient who underwent immediate microvascular free flap reconstruction of a unilateral maxillectomy defect is described, and the issue of surgical versus nonsurgical reconstruction is discussed. (J Prosthet Dent 2001;86:578-81.)

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 aAssociate Professor and Director, Maxillofacial Prosthetics Tertiary Care Center, Department of Prosthodontics.

☆☆ Reprint requests to: Dr Mark A. Pigno, The University of Texas Health Science Center at San Antonio, Department of Prosthodontics—7912, 7703 Floyd Curl Dr, San Antonio, TX 78229-3900, Fax: (210)567-6376, E-mail: pigno@uthscsa.edu

PII: S0022-3913(01)85846-7

doi:10.1067/mpr.2001.119844

Journal of Prosthetic Dentistry
Volume 86, Issue 6 , Pages 578-581, December 2001