MAXILLECTOMY-10 YEARS OF SURGICAL EXPERIENCE

Material and Methods: Twenty cases with malignant tumors requiring maxillary resection in the past 10 years were retrospectively reviewed.

Results: The the patients were examined according to the location of the tumor, it was found to be in the maxillary sinus in 13 patients (65%), the hard palate in 4 patients (20%), the nasal passage in 2 patients (10%), and the skin over the malar area in 1 patient (5%). The most common histopathological diagnosis; it was squamous cell carcinoma (SCC) with a total of 7 cases (35%). In terms of surgical method, it was partial maxillectomy in 14 patients (70%) and total maxillectomy in 6 patients (30%). Depending on localization, it was observed that of 14 patients who underwent partial maxillectomy, 6 had medial maxillectomy, 4 had inferiomedial maxillectomy, 4 had anteromedial maxillectomy. According to the Brown classification, Class I and Class II maxillectomy were performed most frequently. Twelve patients (60%) who required further postoperative treatment were followed. It was observed that 8 patients (40%) did not need additional further treatment. In the evaluation of our patients in terms of recurrence, recurrence was found in 4 (25%) patients. In the follow-up of our patients who underwent maxillectomy, it was found that 12 (60%) patients were still alive and 8 (40%) patients died. Our mean follow-up period was 42 months (4-96).

Conclusion: Maxillectomy is a successful surgical method despite significant surgical morbidities such as loss of voice quality and swallowing problems. To increase the chances of success, choosing appropriate surgical method, use of modern technology, close cooperation with other disciplines and planning the treatment protocol according to the patient are required. Keywords : Neoplasms, Head and Neck Neoplasms, Paranasal sinus neoplasms, Maxillectomy