Abstract
Objectives:
Resection of the maxilla requires adequate restoration of the maxilla structure to replace form and functions, especially vocal and eating functions. A host of reconstructive options are available to restore the maxilla, most of which include free flap reconstruction. The aim of this study was to clinically evaluate the use of pedicled temporalis flap for reconstruction of the maxilla and to assess patient quality of life.
Methods:
In the period 2000-2007, a total of 32 patients with malignant tumors of the maxilla were operated with immediate reconstruction of the maxilla using pedicled temporalis flap at the ear, nose, and throat (ENT) department, Aarhus University Hospital. Follow up was implemented in 2007. Twenty-seven of 28 patients alive at the time of follow up participated in the study. The patients were evaluated objectively as well as subjectively by answering the European Organisation for Research and Treatment of Cancer’s (EORTC’s) standard questionnaire concerning quality of life and functional results.
Results:
Few patients had complaints and these were mostly minor functional deficits. The most common complaints were slightly impaired mouth opening. One temporalis muscle flap necrotized and was removed. Three patients developed oro-nasal/antral fistula, which were later closed using local flaps.
Conclusions:
The follow up study of 27 patients showed a most satisfactory result evaluated objectively as well as subjectively using the EORTC questionnaire.
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