Abstract：
The maxilla plays a crucial role in maintaining midfacial contour, supporting the globe and dentition and separating the oral and nasal cavity. Reconstruction of total maxillectomy defects has always been a challenge in head and neck surgery. In recent years, on the basis of existing methods, we have used the coronoid-temporalis pedicled flap combined with personalized titanium mesh and free flap to reconstruct total maxillectomy defects. This combination of multiple methods can restore the functional subunits of the maxilla. In this report, we introduce our surgical procedures in detail and assess the postoperative effects. Postoperative facial aesthetic outcomes were satisfactory in all 8 patients. None of the patients showed diplopia, oral-nasal reflux, hypernasality, titanium mesh exposure, or trismus. This new surgical procedure may be a simple and feasible option for the reconstruction of total maxillectomy defects.
摘要：
上颌骨在维持中面部轮廓中起着至关重要的作用，支持地球和牙列，并分离口腔和鼻腔。上颌骨全切缺损的重建一直是头颈部手术的挑战。近年来,在现有方法的基础上，我们使用冠状-颞肌带蒂皮瓣结合个性化钛网和游离皮瓣重建上颌骨全切缺损。多种方法的这种组合可以恢复上颌骨的功能亚基。在这份报告中,我们详细介绍了我们的手术程序，并评估了术后效果。所有8例患者术后面部美学效果均令人满意。没有患者表现出复视,口鼻反流,鼻音亢进,钛网曝光，或者刺耳.这种新的外科手术方法可能是重建上颌骨全切除术缺损的简单可行的选择。
