Aim: The aim of this work was to evaluate the use of two distant local flaps (temporalis muscle and temporoparietal fascioosseous flap) and one free flap (radial forearm flap) for reconstruction of maxillary defects after tumour ablation.
Patients: 20 patients had post ablative maxillary defects were reconstructed by the three flaps. 10 were reconstructed by radial forearm flap, 5 by temporalis and 5 by temporoparietal fascioosseous flap.
Results: 18 defects were successfully reconstructed with good defect seal. Two flaps have been lost. Some difficulties were encountered and few complications occurred.
Conclusion: Vascularized tissues were proved to be ideal for reconstruction of maxillary defects after tumour ablation. They are associated with good oral rehabilitation.