Abstract
The primary goal of maxillary reconstruction is functional preservation, supporting of the orbital contents, and optimization of feeding and speech. A secondary goal is aesthetic restoration of patient’s appearance with adequate midfacial projection and vertical facial height.
The osteocutaneous fibula flap can provide, in particular, a favourable foundation for three-dimensional reconstruction of maxillary defects because recreating the infraorbital rim and the orbital floor is essential to successfully maintain the position of the ocular globe.
In our opinion, the osteocutaneous fibula flap is particularly suitable in maxilla defects in which the basal bone and alveolar process are absent (lack of the bone floor of the maxillary sinus and the nasal cavity) and an implant-borne prosthetic rehabilitation is planned.
We briefly describe the maxillary reconstructive principles related to specific defects, referring to the classification proposed by P. G. Cordeiro.
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De Santis, G., Nocini, P.F., Chiarini, L. (2019). Maxilla: Types I–IV. In: De Santis, G., Cordeiro, P., Chiarini, L. (eds) Atlas of Mandibular and Maxillary Reconstruction with the Fibula Flap. Springer, Cham. https://doi.org/10.1007/978-3-030-10684-3_6
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DOI: https://doi.org/10.1007/978-3-030-10684-3_6
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