2011 年 34 巻 2 号 p. 43-46
There were 109 cases of maxillary deficiency associated with malignant tumor resection between July 1988 and December 2010. We examined the collaboration between reconstruction and maxillary prosthetics. Among these cases, 1) 58 were of maxillary prosthesis alone, 2) 35 of reconstruction and maxillary prosthetics, and 3) 16 of reconstruction alone. With regard to reconstruction, there were 23 cases of rectus-abdominis muscle flap, 8 of anterolateral thigh flap, 7 of forearm flap, 1 of latissimus dorsi muscle flap, 1 of parascapular skin flap, 7 of combined latissimus dorsi scapular bone flap, 7 of scapula and 1 of D-P flap. Two flaps were used in 2 cases, and 3 in 1. Bone reconstructions for alveolar and palatal were performed in 14 cases. Prosthetic implants were used in 4 maxillary denture cases. Relatively satisfactory results were obtained through functional evaluations, which included bite force by Dental Prescale, Sato’s scoring of chewing, and interviews.