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[Application of titanium mesh and free forearm flap for reconstruction of maxillary defect resulted from tumor resection].

OBJECTIVE
To investigate the application of titanium mesh and free forearm flap for reconstruction of maxillary defect resulted from tumor resection.


METHODS
From 2004 to 2008, 19 cases with maxillary tumor underwent tumor resection. The defects were reconstructed immediately with titanium mesh for bony defects and free forearm flap for oral mucosa defects.


RESULTS
16 cases achieved satisfactory functional and cosmetic results. The speech assessment was good without oronasal reflux. The titanium mesh was exposed and infected in 3 cases. Then the meshes were taken out and the defects were covered with the forearm flap to close the oronasal fistula. The midface was slightly depressed with no functional morbidity.


CONCLUSIONS
It is simple and practical to reconstruct maxillary defect with titanium mesh and free forearm flap. Both the functional and cosmetic results are satisfactory.