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Cirugía Plástica Ibero-Latinoamericana
versão On-line ISSN 1989-2055versão impressa ISSN 0376-7892
Resumo
JARAMILLO DEL RIO, Andrés Esteban; NORENA ATEHORTUA, Juan Camilo e ALJURE DIAZ, Manuel Felipe. Treatment proposal in microsurgical reconstruction of the maxilla: case series. Cir. plást. iberolatinoam. [online]. 2020, vol.46, n.4, pp.455-464. Epub 08-Fev-2021. ISSN 1989-2055. https://dx.doi.org/10.4321/s0376-78922020000500009.
Background and objective.
Multiple classifications and management algorithms have been described for maxillary reconstruction, at the present time, the most widely accepted is described by Cordeiro and Santamaría.
We present our experience in microsurgical reconstruction of the maxillary with free flaps retrieved from fibula and anterolateral thigh with the intent to consider it as a first-choice option in the reconstruction of defects classified as type II and III.
Methods.
A retrospective, descriptive, case series study of 7 maxillary reconstruction cases with free flap from fibula and anterolateral thigh is described. Database was recollected between January 2018 and February 2019 from Hospital Universitario de La Samaritana (HUS) in Bogotá, Colombia.
Results.
For the reconstruction of IIa, IIb and IIIa defects, a fibular free flap was used. For maxillectomies classified as IIIb, an anterolateral thigh and vast lateral chimeric free flap was implemented.
Survival rate of the free flaps was observed at 100%.
Conclusions.
The fibular free flap is our primary reconstructive option in defects by maxillectomy classified as IIa, IIb and IIIa. In defects constituted as IIIb, our choice is an anterolateral thigh and vast lateral chimeric flap.
Palavras-chave : Maxillary reconstruction; Maxillectomy; Middle third face; Free fibula flap; Anterolateral thigh flap.