Maxillectomy ppt to pdf

Endoscopic management of sinonasal inverted papilloma. This clinical report describes a prosthetic approach to the rehabilitation of acquired palatal defect with definitive obturator. This study evaluated the use of an ictgs in total maxillectomy. Im not going to talk about statistics, causes or anything like that i will just explain, simply with no medical jargon mainly because i dont know any what a maxillectomy is. If you have a cancer affecting the bones and tissues in the roof or hard palate of your mouth maxilla you will need to have the area of cancer removed. Endoscopic modified medial maxillectomy for resection of an inverted papilloma originating from the entire circumference of the maxillary sinus. Cpt code information is available to subscribers and includes the cpt code number, short description, long description, guidelines and more. Maxillectomy defects become more complex when critical structures such as the orbit, globe, and cranial.

It is, in its simplest meaning, the removal of the maxilla, your upper jaw bone. It is concluded that endoscopic medial maxillectomy is an effective technique for benign and low grade malignant lesions arising from the medial part of the maxillary sinus. Endoscopic modified medial maxillectomy for resection of. I searched the web before my operation looking for information about it and couldnt really find what i was looking for so i created this. The indications of medial maxillectomy are not only restricted for inverted papilloma but can be performed for. Prosthetic and surgical procedure can be applied to rehabilitate acquired palatal defect.

Partial maxillectomy in dogs procedure, efficacy, recovery. The cost of partial maxillectomy including radiographs conducted prior to surgery, anesthetic, procedure, and hospitalization can be expensive and will vary widely depending on the extent of procedure required and the recovery of your dog. Picture of total maxillectomy otolaryngology houston. Vasculature around the orbit the arterial blood supply to the maxilla and paranasal sinuses originates from both the external and internal carotid artery systems. This pdf is available for free download from a site hosted by medknow. The variety of nomenclature in our own service database. For treatment of a sinonasal inverted papilloma ip, it is essential to have a definite diagnosis, to identify its origin by computed tomography ct and magnetic resonance imaging mri, and to select the appropriate surgical approach based on the staging system proposed by krouse. Book january 2012 with 3,777 reads how we measure reads a read is counted each time someone views a publication summary such as the.

Class 2 low maxillectomy not including orbital floor or contents class 3 high maxillectomy involving orbital contents class 4 radical maxillectomy includes orbital exenteration. Complete unilateral maxillectomy or one of its variants is commonly performed for surgical resection of benign or malignant tumors of the maxilla, whether they originate from bone, minor salivary glands, sinus tissue, or dental tissues. Reconstructive surgery, possibly with prosthetics, will be needed after this surgery. Click the section headings in blue to expand or collapse the content. Although the obliterated maxillectomy cavity was thought to potentially delay the diagnosis of tumor recurrence, available evidence does not support this hypothesis, which may be related to an increase in the use of anatomic and metabolic imaging strategies in routine followup. The surgeon and reconstructive team must make individualized decisions based on the extent of the maxillectomy defect eg, the resection of the infraorbital rim, the extent of palate excision, skin compromise and the need for radiation therapy. Maxillectomy is potentially complicated by injuries to the orbital contents, lacrimal. The obturator prosthesis as a part of prosthetic management are used for separation of oral and nasal cavities to allow adequate deglutition and. Maxillectomy or maxillary resection is defined as surgical removal of a part or all of the maxilla. As the surgical experience expanded, a maxillectomy was combined with skull base resections to address tumors of the pterygoid plate, anterior skull base, or posterior extension toward the nasopharynx. This incision is rounded inferiorly along the upper border of upper lip till the center of the lip is reached.

A partial maxillectomy is a surgical procedure your veterinarian may perform if disease or damage is present on your dogs upper jaw. Often patients may require artificial maxillary obturator prosthesis to help them recover from. Pdf numerous classifications and nomenclatures exist in literature to aramany presented a classification for maxillectomy defects in obturator ppt. This presentation discusses total maxillectomy slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. This chapter, however, will focus on surgery for pathology that involves the maxilla primarily. Endoscopic medial maxillectomy as a means of treating recalcitrant maxillary sinusitis was performed on 24 patients between 2009 and 2012 in the sinus and nose hospital santhome, chennai, india, which is a tertiary care center for nasal and sinus diseases. Scores obtained in a study that included 23 patients who underwent obturation and 16 who underwent maxillary reconstruction. Most patients requiring midface reconstruction have had ablative surgery for malignant disease, and most require postoperative radiotherapy.

An inverted l block 10 cm x 10 cm along the last rib and beneath the transverse processes is done using 20cc of lidocaine. Softtissue density consistent with ip in the left maxillary. It was during this period that weber ferguson came out with his epoch making lateral rhinotomy incision which caused very little cosmetic deformity. These patients had undergone multiple endoscopic surgeries elsewhere or in our center. Rumenostomy the patient is restrained in a squeeze chute with the tail tied to the right. An intraoperative computed tomographic guidance system ictgs can improve orientation during surgical procedures. The procedure may create a connection between the nose, sinus and oral cavities which can make speech and swallowing challenging. Management of a maxillectomy patient by definitive obturator. A hollow definitive obturator fabrication technique for management of partial maxillectomy j adv prosthodont 2012. Commonly, multiple skin paddle reconstruction is required for such cases to recreate palatal or external skin defects.

The modified weber ferguson incision used in total maxillectomy has three components. This personal view is based on a new classification of. Medial maxillectomy is the procedure designed to en bloc resect the party wall between the nasal cavity, maxillary antrum, and adjacent ethoid labyrinth along with the tumor within the nose and sinus. If you continue browsing the site, you agree to the use of cookies on this website. It is increasingly being done by transnasal endoscopic technique for suitable cases and when the. Subtotal maxillectomy or tm was performed in 5 and 38 34 % and 9 %, respectively, almost 90% of whom had a cheek flap approach. Total maxillectomy and orbital exenteration vula university of. Find powerpoint presentations and slides using the power of, find free presentations research about maxillectomy ppt. Reconstruction of the complex surgical defect flap selection for maxillectomy american head and neck society. I had cancer i had half of my top jaw removed im ok. A staged approach 2 nd international conference and exhibition on rhinology and otology. Only 51 patients had an orbital exenteration, including 27 of the 38 71 % of those who had a tm. Largevolume maxillectomy defects with or without orbital exenteration brown class 3 or 4a, 4b, 4c, or 4d or cordeiro types 3b and 4 typically require microvascular reconstruction. Current strategies in reconstruction of maxillectomy defects.

A maxillectomy is the partial removal of the upper jaw bone. Intraoperatively, the entire medial wall of the maxillary sinus was removed and disease was cleared off the dental implants which were. The catheter will be removed when the patient is up. Maxillectomy operation with pre and post op details. Total maxillectomy for cancer of the maxillary sinus, resulting in a large defect in the roof of the mouth which communicates with the nose and nasopharynx. Reconstruction of maxilla dental implant human anatomy. The contents of this web site are for information purposes only, and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Current strategies in reconstruction of maxillectomy. Maxillectomy will nickson a personal account of having.

It is employed with tumours including inverting papilloma involving the lateral wall of the nose, the lacrimal sac, and ethmoids. A brief presentation on the reconstruction options for maxillary defects. Pdf management of a maxillectomy patient by definitive obturator. Endoscopic modified medial maxillectomy for resection of an. Resection includes the floor and medial wall of the orbit and the ethmoid sinuses. A 15 cm x 15 cm area, high in the anterior left paralumbar fossa is clipped and surgically prepared. After 6 months on 2 nd recheck, we found small amount of fluid leak 1 genden em, okay d, stepp mt, et al. Reconstruction of the complex surgical defect youtube. Rehabilitation of total maxillectomy with magnet retained. The maxillectomy procedure has continued to evolve, while both improving patient outcomes and decreasing complications. The maxilla articulates with the bones of the skull base, and therefore maxillary surgery is occasionally performed to provide exposure for treatment of skull base pathology. Endoscopic medial maxillectomy for infected dental implants decision was made to proceed with a left emm to allow for wide open irrigation and drainage of the left maxillary sinus. A modified classification for the maxillectomy defect aka liverpool classification class 1 maxillectomy without an oroantral fistula. The surgery may be extended to include orbital exente.

The extent of the maxillectomy was dependent on tumor type, location, size, and invasiveness as determined by clinical and radiographic examination and incisional biopsy. Wada, kota ishigaki, takashi ida, yutaro yamada, yuki hosono, sachiko and edamatsu, hideo 2015. A hollow definitive obturator fabrication technique for. The maxillectomy was designed for the surgical treatment of tumors involving the maxilla, as well as the maxillary sinus. This will always include the removal of some or all of the. Role of modified endoscopic medial maxillectomy in. Patients may be on 4b or rarely the intensive care unit 5d. A maxillectomy is a surgical procedure used to treat oral cavity cancer and cancers affecting the jaw and sinus cavity. Role of modified endoscopic medial maxillectomy in persistent. View and download powerpoint presentations on maxillectomy ppt. Maxillectomy definition of maxillectomy by medical dictionary. This chapter will only deal with the open surgical medial maxillectomy technique.

Partial maxillectomy and premaxillectomy in the treatment of oral. Teaching and guidance as to the best technique, therefore, is based more on authority than clinical evidence. Current strategies in reconstruction of maxillectomy defects md. Basic principles of obturator design for partially edentulous patients. Rehabilitation of total maxillectomy with magnet retained obturatora case report. Total maxillectomy refers to surgical resection of the entire maxilla. Each specimen is different, so consult with the attending pathologist regarding the best way to approach the specimen and how margins should be submitted perpendicular vs. Maxillectomy definition of maxillectomy by medical.

Chapter 48 endoscopic medial maxillectomy, tumors originating within the nasoethmoidal complex and secondarily ppt presentation summary. Ct scan is an important means of anticipating the extent of maxillectomy that is required and to assess the anatomy of the skull base and paranasal sinuses. My name is will nickson from the uk, i was 38 when i had to have maxillectomy surgery in march 2012 due to cancer here is a video of me 10 months after my operation. Introductionprosthetic rehabilitation of patients who have undergone total maxillectomy has always been a challenging task for the prosthodontist. Maxillectomy is a surgical procedure in which a portion of the upper jaw is removed. The patient will have a foley catheter to drain your bladder in place after surgery. Three identification lines were drawn with a marking pencil on the waxbolus, directed towards centre of the three indices. This can involve both sides of the face or just one side. A brief presentation on the reconstruction options for. A total maxillectomy is the resection of the entire maxilla, whereas a limited maxillectomy is only a partial resection, involving the removal of only the medial wall or the floor of the maxillary sinus. This type of facial reconstruction attracts controversy, not only because of the many reconstructive options, but also because dental and facial prostheses can be very successful in selected cases.

The upper lip is ideally split right in the midline. Most tumors of the maxillary sinus are silent until they reach an advanced stage, producing no direct symptoms. Head and neck cancers, maxillary reconstruction, maxillectomy. Partial maxillectomy and premaxillectomy in the treatment. The catheter will be removed when the patient is up walking around. The surgery may be extended to include orbital exente ration and sphenoidectomy, and resection of the pterygoid plates. Maxillectomy involves the removal of the bone and tissue in your dogs upper jaw. Pdf management of a maxillectomy patient by definitive.

Endoscopic management of sinonasal inverted papilloma med j malaysia vol 66 no 1 march 2011 17 fig. External medial maxillectomy operative techniques in. Multidisciplinary decisionmaking in the management of the maxillectomy defect. Recently, a new surgical approach named endoscopic modified medial maxillectomy emmm was proposed. However, its efficacy in head and neck surgery remains controversial.

Later that year, joseph gonsol successfully completed this operation but credited lazars for his initial. Figure 1diagram outlining the limits of the standard medial maxillectomy. Many adjectives are used to describe maxillectomy procedures, such as radical, total, extended, subtotal, medial, partial, and limited. Pdf radical maxillectomy has usually been done by the classical weber ferguson incision since age old times and still is being used widely. Lazars attempted the first maxillectomy in 1827, but the procedure was. In total maxillectomy, the entire upper jaw including the tumor is removed en bloc from the facial skeleton. There are 2 levels of operation to do this depending on the size of your cancer and whether it has spread. An obturator is worn by the patient to seal the defect and allow the patient to eat and speak. Lazars attempted the first maxillectomy in 1827, but the procedure was aborted because of excessive blood loss. Maxillectomy is most commonly undertaken for the treatment of benign or malignant tumors affecting the upper jaw.

During inferior maxillectomy one can expect to encounter some bleeding. Reconstruction of maxilla free download as powerpoint presentation. Curving incision from the medial canthus to the ala of the nose at the nasolabial sulcus. Reconstruction of the complex surgical defect flap selection for maxillectomy american head and neck. Partial maxillectomies were performed in 17 dogs and three cats to accomplish wide excision of oral tumors. Three identification lines were drawn with a marking pencil. Computer imageguided surgery for total maxillectomy.