RECONSTRUCTIVE SURGERY OF POST-RESECTION DEFECTS OF THE UPPER JAW

Abstract

Post-resection defects of the upper jaw are one of the most difficult problems in surgery. They can occur after removal of tumors, trauma or infection, and can cause various functional and aesthetic problems in patients. Surgical reconstruction of the maxilla may require the use of bone grafts and/or implants, which may be ineffective or cause a number of complications in the absence of a reconstructive approach.The aim of the study was to assess the efficacy and safety of surgical reconstruction of the upper jaw using modified individual plates and bone autografts.Materials and methods. The study was conducted among 35 patients with post-resection defects of the upper jaw. All patients underwent surgical reconstruction using modified individual plates and revascularizable autografts, according to the division into 2 groups. Evaluation of the effectiveness of the reconstruction was carried out based on clinical data in the early and late postoperative periods.Results. The use of revascularized flaps makes it possible to achieve an optimal long-term result with the absence of a large volume of foreign bodies in the recipient bed.Conclusions. Reconstructive surgery using metal structures is fraught with a number of postoperative complications that require corrective manipulations and (or) a fundamentally different approach for repeated interventions. Currently, the gold alternative standard is the use of revascularized flaps, which allowed 16 patients to achieve a long-term stable result with the restoration of the continuity of the upper jaw, followed by prosthetics.