2022 Volume 14 Issue 4 Pages 415-418
Patient: A 47-year-old female underwent maxillary subtotal resection, craniotomy, and oral reconstruction with a free muscle flap for left maxillary osteosarcoma. During the operation after the muscle transplantation, a pre-prepared removable prosthesis was fixed in the oral cavity with titanium screws, and was left attached for one month. After removal of the screws, the prosthesis was adjusted to fit the wound contraction. As the morphology of the muscular valve stabilized, the prosthesis became comfortable to use.
Discussion: Continuous use of the removable prosthesis after surgery enabled the formation of a stable palate with ideal morphology. The removable prosthesis remained stable over the long term after epithelialization and provided good esthetics and recovery of conversation and masticatory function.
Conclusion: Life prognosis is poor in patients treated with reconstruction. This minimally invasive treatment with a single operation is considered to be useful in terms of the patient’s QOL.
