Sammanfattning
Background - The reconstruction of the maxilla after massive
excisions for cancer and tumours is a challenging problem due to
the anatomical complexity of the region. Nevertheless, the reconstruction
is crucial to offer the patient a functional, comfortable
and aesthetic outcome.
Case study - The article presents a patient who was referred
from the oto-rhino-laryngologists for reconstruction after hemimaxillectomy
due to sarcoma. Primary reconstruction with a
temporalis flap was performed. Bone was harvested from the
anterior iliac crest and from an intraoral approach adapted as
a bicortical block to the left maxilla through a dissection in the
temporalis flap. Finally, a reconstruction with two dental implants
and a titanium composite bridge was performed. Seven years
after reconstruction the patient is still satisfied and the bone level
in relation to the implants is maintained.
Conclusion - Within the limitations of the few patients we have
treated with this technique, we find that rehabilitation of patients
following hemimaxillectomy with the two stage procedure is a
reliable and safe alternative to the primary reconstruction procedure.