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- W2059570906 abstract "Abstract Background. Palatal obturators and microvascular free flaps are both used to treat patients with maxillectomy defects, however, the optimal technique remains controversial. Methods. A retrospective analysis of 113 patients undergoing maxillectomy for cancer was performed. Seventy‐three patients received an obturator and 40 patients were reconstructed with a free flap. Results. Speech intelligibility and postoperative diet were comparable between the obturator and free flap groups, except in cases of extensive (>50%) palatal defects, where free flap reconstruction was superior in both aspects ( p = .019 and p = .043, respectively). The average time for presenting with a local recurrence in advanced cancer involving the palate was comparable in both groups ( p = .33). Conclusion. Moderate‐sized maxillectomy defects involving the palate can be successfully treated with either an obturator or free flap reconstruction. Extensive defects have a better functional outcome with free flaps. Evidence does not suggest that free flap reconstructions delay diagnosis of local recurrences. © 2009 Wiley Periodicals, Inc. Head Neck, 2009" @default.
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- W2059570906 date "2010-06-15" @default.
- W2059570906 modified "2023-10-18" @default.
- W2059570906 title "Microvascular free flap reconstruction versus palatal obturation for maxillectomy defects" @default.
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- W2059570906 doi "https://doi.org/10.1002/hed.21264" @default.
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