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Maxillectomy and its classification

1997; Wiley; Volume: 19; Issue: 4 Linguagem: Inglês

10.1002/(sici)1097-0347(199707)19

1097-0347

Ronald H. Spiro, Elliót W. Strong, Jatin P. Shah,

Oral and Maxillofacial Pathology

Head & NeckVolume 19, Issue 4 p. 309-314 Maxillectomy and its classification Ronald H. Spiro MD, Corresponding Author Ronald H. Spiro MD Department of Surgery, Head and Neck Service, Memorial Sloan Kettering Cancer Center, 425 East 67th Street, New York, New York, 10021Department of Surgery, Head and Neck Service, Memorial Sloan Kettering Cancer Center, 425 East 67th Street, New York, New York, 10021Search for more papers by this authorElliot W. Strong MD, Elliot W. Strong MD Department of Surgery, Head and Neck Service, Memorial Sloan Kettering Cancer Center, 425 East 67th Street, New York, New York, 10021Search for more papers by this authorJatin P. Shah MD, Jatin P. Shah MD Department of Surgery, Head and Neck Service, Memorial Sloan Kettering Cancer Center, 425 East 67th Street, New York, New York, 10021Search for more papers by this author Ronald H. Spiro MD, Corresponding Author Ronald H. Spiro MD Department of Surgery, Head and Neck Service, Memorial Sloan Kettering Cancer Center, 425 East 67th Street, New York, New York, 10021Department of Surgery, Head and Neck Service, Memorial Sloan Kettering Cancer Center, 425 East 67th Street, New York, New York, 10021Search for more papers by this authorElliot W. Strong MD, Elliot W. Strong MD Department of Surgery, Head and Neck Service, Memorial Sloan Kettering Cancer Center, 425 East 67th Street, New York, New York, 10021Search for more papers by this authorJatin P. Shah MD, Jatin P. Shah MD Department of Surgery, Head and Neck Service, Memorial Sloan Kettering Cancer Center, 425 East 67th Street, New York, New York, 10021Search for more papers by this author First published: 07 December 1998 https://doi.org/10.1002/(SICI)1097-0347(199707)19:4 3.0.CO;2-4Citations: 108AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Abstract Background Many adjectives are used to describe maxillectomy procedures, such as radical, total, extended, subtotal, medial, partial, and limited. The variety of nomenclature in our own Service database testifies that much confusion exists. Methods We have reviewed a 10-year experience with 403 maxillectomies performed between 1984 and 1993. Based on our retrospective reassessment, the operations were grouped into one of three categories. The term “limited” (LM) was applied to any maxillectomy which primarily removed one wall of the antrum. Designated “subtotal” (SM) was any procedure which removed at least two walls, including the palate. We listed as “total” (TM) only those who had a complete resection of the maxilla. Hospital charts were selectively reviewed, and each of the three types of maxillectomy was analyzed to determine the histology and site of the index cancers and the incidence of complex reconstruction. Results We determined that the maxillectomy performed in 230 patients (57%) was a LM. Tumor site and extent defined five different approaches in this cohort: peroral, 73; medial maxillectomy, 53; anterior craniofacial, 43; upper cheek flap, 42; and transfacial, 19. Subtotal maxillectomy or TM was performed in 135 and 38 (34% and 9%, respectively), almost 90% of whom had a cheek flap approach. Only 51 patients had an orbital exenteration, including 27 of the 38 (71%) of those who had a TM. Complex repair was employed in a total of 63 patients (16%), most often in those having TM (14 of 38, 37%). Conclusions Classification of maxillectomy either as LM, SM, or TM is useful and feasible. To define a LM, the portion of the maxilla removed (ie, palate, anterior wall, medial wall) must be specified. For any maxillectomy, the access used should be listed, and the surgeon should indicate whether the maxillectomy has been extended to include adjacent structures. © 1997 John Wiley & Sons, Inc. Head Neck 19: 309–314, 1997. Citing Literature Volume19, Issue4July 1997Pages 309-314 RelatedInformation