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1 results

  • Nasoseptal flap for palatal reconstruction after hemi-maxillectomy: case report

  • M K Alwashahi, P Battaglia, M Turri-Zanoni, P Castelnuovo
  • Journal:
    The Journal of Laryngology & Otology / Volume 132 / Issue 1 / January 2018
    Published online by Cambridge University Press:
    20 November 2017, pp. 83-87
    Print publication:
    January 2018
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  • Objective:

    Palatal reconstruction following maxillectomy is a surgical challenge, and a nasoseptal flap is a feasible approach. This paper reports the first known successful clinical case of a nasoseptal pedicle flap applied for the reconstruction of maxillary bone following hemi-maxillectomy.

    Case report:

    This report describes hemi-maxillectomy in a 60-year-old Italian male diagnosed with stage IV squamous cell carcinoma of the left maxilla. Endoscopic transnasal extended medial maxillectomy was performed, followed by a transoral modified midfacial degloving technique for removal of the maxillary bone. The contralateral nasoseptal pedicle flap was used to reconstruct the defect. The case was followed up prospectively for the assessment of flap reception and healing.

    Conclusion:

    The locally accessible nasoseptal flap is a viable alternative for palatal reconstruction; therefore, a second surgical procedure with its associated donor site morbidity can be avoided. Large-scale studies may help in establishing the cosmetic and functional outcomes.