Abstract:

Objective  To study the feasibility of close and three-dimensional reconstruction of maxillary  defects combination with pedicled buccal fat pad graft, temporalis myofascial flap and titanium mesh. Methods  Among 11 patients with maxillary tumors, 9 were malignant and 2 were benign. 8 cases underwent subtotal maxillectomy and 3 cases underwent total maxillectomy. Maxillary defects were closely reconstructed combination with pedicled buccal fat pad graft(BFP), temporalis myofascial flap（TMF） and titanium mesh to restore the profile of maxilla. Results  All flaps were alive with satisfactory function and aesthetic appearance. The uncovered  BFP and the facial muscle surface of TMF epithelialized within 4-6 weeks. Their degree of mouth opening ranged from 2.5 to 4.0 cm and without nasal foods return. All patients had a good voice quality. Conclusion  Making use of BFP, TMF and titanium mesh can restore the good contour and function of maxillary． It is an effective method of reconstruction of maxillary defects, and is easy to manipulate. It is worthy to popularization.

Key words: maxillarydefect, reconstructivesurgicalprocedures, pedicledbuccalfatpadgraft, temporalismy-ofascialflap, titaniummesh