Abstract
Techniques for maxillary reconstruction are well described, these techniques can be tailored for specific defects based on the classification of the defect. 1 Brown J.S. Rogers S.N. McNally D.N. Boyle M. A modified classification for the maxillectomy defect. Head Neck. 2000; 22: 17-26 Crossref PubMed Scopus (223) Google Scholar For free flap reconstruction of the maxilla we describe an alternative based on the thoracodorsal vessels. This utilises bone from the scapula tip as well as muscle cuffs of latissimus dorsi and serratus anterior providing the soft tissue bulk for these defects. For intra-oral defects the muscle mucosalises and for the true composite defect one can also harvest skin in a more conventional manner.
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