Abstract
The loss of maxillary structure through trauma or ablation may result in significant alterations in appearance and functional deficit. The impact of these changes on quality of life, while not well understood, may be devastating for a patient. Traditionally, where oro-nasal communication existed this was managed with maxillary obturation. Maxillary obturation has remained an accepted treatment modality for centuries through to the current time. The advent of microvascular reconstruction with bone containing free flaps and the potential to use osseointegrated implants presents an interesting opportunity for functional reconstruction of the maxilla. The decision to use osseointegrated implants with microvascular bone containing free flaps to reconstruct the maxilla requires an interdisciplinary approach. This requires planning to determine optimal free flap positioning and contour if osseointegrated implants are to be successfully used. Radiation therapy may decrease implant success and may alter functional capability. The surgical reconstruction team and the patient need to have an understanding of expected outcomes of the implants and the potential functional capability when osseointegrated implants are to be employed.
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