Abstract

After surgery of advanced maxillary cancer, we generally faced severe facial deformity even through using prosthesis. We performed new procedure to reconstruct wide defect after extended total maxillectomy. The orbital floor, nasal cavity, plate and/or cheek skin which were removed in operation were simultaneously reconstructed by using free rectus -abdomimal flap . This free flap was partially denuded in order to reconstruct the orbital floor and to obtain good possisition of the eye ball. This operative procedure protect diplopia due to the dislocation of the eye ball. In addition, this procedure was cosmetically so effective to avoid postoperatively severe retraction of the cheek Generally patients were able to start oral intake within 2 weeks after this surgery. In addition, we have not any cases of trismus at all since the free flap overlay the pterygoid muscle.