Immediate reconstruction following maxillectomy: a new method

Int J Oral Maxillofac Surg. 1993 Aug;22(4):221-5. doi: 10.1016/s0901-5027(05)80640-x.


A new method for immediate reconstruction of the maxilla after resection is described. The ipsilateral pedicled temporalis muscle is tunneled into the defect and sagittaly split into two layers. The inner layer is used to line the nasal side. An individually shaped titanium mesh, tightly filled with free autogenous corticocancellous bone, is fixed by titanium screws to the remnant of the zygoma and contralateral maxilla. The outer layer of the split muscle covers the reconstruction, the temporalis fascia forming the oral side. The method resulted in good cosmetic appearance and permitted the re-creation of a maxillary alveolar ridge suitable for endosseous implants or a simple prosthesis.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Bone Transplantation / methods*
  • Dental Implantation, Endosseous
  • Humans
  • Male
  • Maxillary Neoplasms / rehabilitation
  • Maxillary Neoplasms / surgery*
  • Odontogenic Tumors / surgery
  • Surgical Flaps / methods
  • Surgical Mesh
  • Temporal Muscle / surgery
  • Titanium


  • Titanium