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Purpose of Review <p>Ablative maxillary defects represent complex surgical three-dimensional problems with predictable functional and aesthetic morbidity. The reconstructive paradigm has shifted from prosthetic obturation towards microvascular free tissue transfer. This review outlines current reconstructive options taking a pragmatic approach in considering both patient and defect factors.</p> Recent Findings <p>There has been a paradigm shift in recognising that free tissue transfer provides the gold standard approach to reconstructing maxillary ablative defects. The versatility offered provides improved functional outcomes, whilst all the time increasing the possibility of subsequent oral rehabilitation with dental implants.</p> Summary <p>Prosthetic obturation remains an option in selected low-volume defects and high-risk patients. Regional flaps offer a limited but often under-utilized approach. Microvascular free tissue transfer provides a reliable restoration of oro-nasal separation, midface contour, and the possibility of more advanced dental rehabilitation, and should be considered the gold standard for extensive defects.</p>

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Contemporary Approaches to Maxillary Reconstruction Following Ablative Surgery

  • 期刊论文

  • 发表日期：

    2026年5月28日

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  • G. W. Jenkins,
  • M. Cobb,
  • L. Collins,
  • A. Bartram

摘要

Purpose of Review

Ablative maxillary defects represent complex surgical three-dimensional problems with predictable functional and aesthetic morbidity. The reconstructive paradigm has shifted from prosthetic obturation towards microvascular free tissue transfer. This review outlines current reconstructive options taking a pragmatic approach in considering both patient and defect factors.

Recent Findings

There has been a paradigm shift in recognising that free tissue transfer provides the gold standard approach to reconstructing maxillary ablative defects. The versatility offered provides improved functional outcomes, whilst all the time increasing the possibility of subsequent oral rehabilitation with dental implants.

Summary

Prosthetic obturation remains an option in selected low-volume defects and high-risk patients. Regional flaps offer a limited but often under-utilized approach. Microvascular free tissue transfer provides a reliable restoration of oro-nasal separation, midface contour, and the possibility of more advanced dental rehabilitation, and should be considered the gold standard for extensive defects.