Lessons Learned from Delayed Versus Immediate Microsurgical Reconstruction of Complex Maxillectomy and Midfacial Defects: Experience in a Tertiary Center in Mexico

Clin Plast Surg. 2016 Oct;43(4):719-27. doi: 10.1016/j.cps.2016.05.011. Epub 2016 Jul 20.


Microsurgical reconstruction of complex midfacial and maxillectomy defects is among the most challenging procedures in plastic surgery, and it often requires composite flaps to improve functional and aesthetic results. Various factors have been identified as having influence in the outcome of microsurgical reconstruction. In this article, the authors present their experience with immediate and delayed reconstruction of complex maxillectomy defects in a tertiary center in Mexico. The authors present a total of 37 patients with microsurgical reconstruction of a complex maxillectomy defect; 13 patients had immediate and 24 had delayed reconstructions. The authors recommend doing immediate reconstruction when feasible.

Keywords: Delayed reconstruction; Free flaps; Head and neck reconstruction; Immediate reconstruction; Maxillectomy; Radiotherapy.

Publication types

  • Review

MeSH terms

  • Adult
  • Aged
  • Face / surgery*
  • Facial Injuries / surgery
  • Female
  • Head and Neck Neoplasms / surgery*
  • Humans
  • Male
  • Maxilla / injuries
  • Maxilla / surgery*
  • Microsurgery / methods
  • Middle Aged
  • Plastic Surgery Procedures / methods*
  • Retrospective Studies
  • Surgical Flaps*
  • Time Factors
  • Wounds and Injuries / etiology
  • Wounds and Injuries / surgery*
  • Young Adult