CASE REPORT   

Chirurgia 2021 October;34(5):227-31

DOI: 10.23736/S0394-9508.21.05242-6

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

Maxilla reconstruction using a free fibula flap and virtual planning

Francesco GIOVACCHINI ¹, Gabriele MONARCHI ² ✉, Valeria MITRO ¹, Massimiliano GILLI ², Caterina BENSI ³, Antonio TULLIO ⁴

¹ Department of Maxillo-Facial Medicine Surgery, Hospital of Perugia, Sant’Andrea delle Fratte, Perugia, Italy; ² University of Siena, Siena, Italy; ³ School of Pediatric Dentistry Postgraduate, Tor Vergata University, Rome, Italy; ⁴ Section of Maxillo-Facial Surgery, Department of Surgery and Biomedical Sciences, University of Perugia, Perugia, Italy

Reconstructive surgery of large maxilla defects region has always represented a challenge for the surgical team. Thanks to the increasingly widespread use of revascularized free flaps, it is now possible to guarantee to the patient a paraphysiological functionality and an aesthetic widely accepted by himself. In this article, we report a case of right maxillary sinus/nasal cavity neoplasm with the histological diagnosis of Myoepithelial carcinoma/ex-pleomorphic adenoma in a 64-year-old patient subjected to a wide maxillectomy and a complex secondary reconstruction with a fibula free flap. This case report describes the extensive reconstructive possibilities in cancer patients offered by microvascular surgery; assisted today by the most modern virtual presurgical planning and the use of stereolithographic models for rapid prototyping and preplating.

KEY WORDS: Maxilla; Microsurgery; Carcinoma; Pathology, oral