Resumen

PEREZ-MORELL, Alberto et al. Maxilectomía total con preservación del contenido orbitario: Reconstrucción con el colgajo microquirúrgico de rectus abdominis. Rev. venez. oncol. [online]. 2006, vol.18, n.1, pp.43-48. ISSN 0798-0582.

OBJECTIVE: We present two patients in which, a maxilectomía with preservation of the orbit was made to them, and they were reconstructed in immediate form with rectus abdominis free flap. RESULTS: The functional and cosmetic results obtain in these two patients were satisfactory. Inmediate reconstruction after onco-logy resection of right total maxillectomy with preservation of orbital contens with rectus abdominis free flap; the first patients had a fibromixoma, and the other one, a fibrosarcoma. We used titanium mesh in the orbit’s floor reconstruction. We realized a termino-lateral anastomosis of the inferior epigastric vein and tirolingual-facial trunck, and a termino-terminal anastomosis between the inferior epigastric artery and the inferior thyroid artery. CONCLUSION: The rectus abdominis free flap is the best method for reconstruction of big facial defects, allows two surgical teams approach and brings enough tissue to fill big cavitys.

Palabras clave : Cancer; head and neck; maxillectomy; reconstruction; Rectus abdominis free flap.