Abstract
We describe the clinical cases of two pediatric patients who were treated with a total maxillectomy and chemo/radiotherapy for suffering from malignant tumors of the maxilla. The reconstruction of the floor of the orbit was done with titanium micromesh and the defect in the maxilla and hard palate was reconstructed with free flaps.
Highlights
Total maxillectomy is a surgical technique that involves the resection of all the bony walls of the maxilla
The clinical cases of two children who were treated by a total maxillectomy for malignant tumors of the maxilla are described
The surgical technique is similar to that used in adults, and reconstruction of the defect caused by maxillectomy is always necessary to improve function and aesthetic results
Summary
Total maxillectomy is a surgical technique that involves the resection of all the bony walls of the maxilla. Histopathological diagnosis and with immunostaining techniques was undifferentiated round cell sarcoma He underwent three cycles of chemotherapy with ifosfamide, mesna, vincristine, actinomycin, and doxorubicin with marked reduction in tumor size. The margins were free and the histological diagnosis was undifferentiated round cell sarcoma with 99% necrosis He performed postoperative chemotherapy, completed 9 cycles. By CT a tumor in the nasal fossa was diagnosed with extension to the maxillary sinus, ethmoid and left orbit, with destruction of its medial and inferior wall (Figure 4). The histopathological report of the surgical specimen was: effects of chemotherapy neoadjuvant on the mucosa of the maxillary sinus and bone with little residual tumor (7%) He had a good evolution and was discharged from hospital at 12 days (Figure 8). Controls with a follow-up of 1 year did not detect disease
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More From: International Journal of Cancer and Clinical Research
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