A maxillectomy defect creates a communication from oral cavity to nasa
l cavity that may extend to the orbit, Functional deglutition and spee
ch problems with a significant soft tissue deficit ensue. This paper d
efines the reconstruction options for the spectrum of inferior partial
maxillectomy defects to midface-orbital exonerations. Treatment proto
cols from maxillectomy patients treated in January 1991 to February 19
96 at a major tertiary care institution were reviewed (n = 108). An as
cension of care from dental obturator, nonvascularized graft, local fl
ap, regional flap, and free tissue grafts (n = 28) is described. These
data and experience were organized to provide a treatment algorithm t
o assist in presurgical planning for maxillectomy reconstruction.