Comprehensive approach to functional palatomaxillary reconstruction using regional and free tissue transfer: Report of reconstructive and prosthodontic outcomes of 140 patients

Mark L. Urken; Ansley M. Roche; Kimberly J. Kiplagat; Eliza H. Dewey; Cathy Lazarus; Ilya Likhterov; Daniel Buchbinder; Devin J. Okay

doi:10.1002/hed.25134

Comprehensive approach to functional palatomaxillary reconstruction using regional and free tissue transfer: Report of reconstructive and prosthodontic outcomes of 140 patients

Mark L. Urken, Ansley M. Roche, Kimberly J. Kiplagat, Eliza H. Dewey, Cathy Lazarus, Ilya Likhterov, Daniel Buchbinder, Devin J. Okay

Research output: Contribution to journal › Article › peer-review

20 Scopus citations

Abstract

Background: Palatomaxillary defects were historically restored with a prosthetic obturator; however, advances in local and free tissue transfer has provided a viable alternative for appropriately selected patients with palatomaxillary defects. Methods: A retrospective chart review of patients who underwent palatomaxillary reconstruction by the lead author between 1998 and 2016 was conducted. Patients who were restored with a palatal obturator were excluded. Results: One hundred forty patients were reconstructed with a total of 159 local, regional, and free flaps with a 96.7% success rate. Seventy-four patients (52.8%) underwent prosthodontic rehabilitation, with 183 implants placed and an 86% success rate. Conclusion: Palatomaxillary reconstruction applying a systematic approach, using a multitude of techniques, is a safe and effective way to restore patients without compromising the ability to maintain surveillance. Prosthodontic rehabilitation can be achieved in a high percentage of patients using dental implants, leading to optimal aesthetic and functional results.

Original language	English
Pages (from-to)	1639-1666
Number of pages	28
Journal	Head and Neck
Volume	40
Issue number	8
DOIs	https://doi.org/10.1002/hed.25134
State	Published - Aug 2018

Keywords

classification
defect
palatomaxillary
prosthodontic
reconstruction

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@article{75fa11f0fb0847018befc210274f4e79,

title = "Comprehensive approach to functional palatomaxillary reconstruction using regional and free tissue transfer: Report of reconstructive and prosthodontic outcomes of 140 patients",

abstract = "Background: Palatomaxillary defects were historically restored with a prosthetic obturator; however, advances in local and free tissue transfer has provided a viable alternative for appropriately selected patients with palatomaxillary defects. Methods: A retrospective chart review of patients who underwent palatomaxillary reconstruction by the lead author between 1998 and 2016 was conducted. Patients who were restored with a palatal obturator were excluded. Results: One hundred forty patients were reconstructed with a total of 159 local, regional, and free flaps with a 96.7% success rate. Seventy-four patients (52.8%) underwent prosthodontic rehabilitation, with 183 implants placed and an 86% success rate. Conclusion: Palatomaxillary reconstruction applying a systematic approach, using a multitude of techniques, is a safe and effective way to restore patients without compromising the ability to maintain surveillance. Prosthodontic rehabilitation can be achieved in a high percentage of patients using dental implants, leading to optimal aesthetic and functional results.",

keywords = "classification, defect, palatomaxillary, prosthodontic, reconstruction",

author = "Urken, {Mark L.} and Roche, {Ansley M.} and Kiplagat, {Kimberly J.} and Dewey, {Eliza H.} and Cathy Lazarus and Ilya Likhterov and Daniel Buchbinder and Okay, {Devin J.}",

note = "Funding Information: The authors thank Jill Gregory for the medical illustrations and Mount Sinai Hospital for the generous support of this research project. Publisher Copyright: {\textcopyright} 2018 Wiley Periodicals, Inc.",

year = "2018",

month = aug,

doi = "10.1002/hed.25134",

language = "English",

volume = "40",

pages = "1639--1666",

journal = "Head and Neck",

issn = "1043-3074",

publisher = "John Wiley & Sons Inc.",

number = "8",

}

TY - JOUR

T1 - Comprehensive approach to functional palatomaxillary reconstruction using regional and free tissue transfer

T2 - Report of reconstructive and prosthodontic outcomes of 140 patients

AU - Urken, Mark L.

AU - Roche, Ansley M.

AU - Kiplagat, Kimberly J.

AU - Dewey, Eliza H.

AU - Lazarus, Cathy

AU - Likhterov, Ilya

AU - Buchbinder, Daniel

AU - Okay, Devin J.

N1 - Funding Information: The authors thank Jill Gregory for the medical illustrations and Mount Sinai Hospital for the generous support of this research project. Publisher Copyright: © 2018 Wiley Periodicals, Inc.

PY - 2018/8

Y1 - 2018/8

N2 - Background: Palatomaxillary defects were historically restored with a prosthetic obturator; however, advances in local and free tissue transfer has provided a viable alternative for appropriately selected patients with palatomaxillary defects. Methods: A retrospective chart review of patients who underwent palatomaxillary reconstruction by the lead author between 1998 and 2016 was conducted. Patients who were restored with a palatal obturator were excluded. Results: One hundred forty patients were reconstructed with a total of 159 local, regional, and free flaps with a 96.7% success rate. Seventy-four patients (52.8%) underwent prosthodontic rehabilitation, with 183 implants placed and an 86% success rate. Conclusion: Palatomaxillary reconstruction applying a systematic approach, using a multitude of techniques, is a safe and effective way to restore patients without compromising the ability to maintain surveillance. Prosthodontic rehabilitation can be achieved in a high percentage of patients using dental implants, leading to optimal aesthetic and functional results.

AB - Background: Palatomaxillary defects were historically restored with a prosthetic obturator; however, advances in local and free tissue transfer has provided a viable alternative for appropriately selected patients with palatomaxillary defects. Methods: A retrospective chart review of patients who underwent palatomaxillary reconstruction by the lead author between 1998 and 2016 was conducted. Patients who were restored with a palatal obturator were excluded. Results: One hundred forty patients were reconstructed with a total of 159 local, regional, and free flaps with a 96.7% success rate. Seventy-four patients (52.8%) underwent prosthodontic rehabilitation, with 183 implants placed and an 86% success rate. Conclusion: Palatomaxillary reconstruction applying a systematic approach, using a multitude of techniques, is a safe and effective way to restore patients without compromising the ability to maintain surveillance. Prosthodontic rehabilitation can be achieved in a high percentage of patients using dental implants, leading to optimal aesthetic and functional results.

KW - classification

KW - defect

KW - palatomaxillary

KW - prosthodontic

KW - reconstruction

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U2 - 10.1002/hed.25134

DO - 10.1002/hed.25134

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AN - SCOPUS:85043684262

SN - 1043-3074

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SP - 1639

EP - 1666

JO - Head and Neck

JF - Head and Neck

IS - 8

ER -

Comprehensive approach to functional palatomaxillary reconstruction using regional and free tissue transfer: Report of reconstructive and prosthodontic outcomes of 140 patients

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Keywords

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