An orderly approach to reconstruction after maxillectomy using a simple classification system is helpful. Although the majority of patients undergoing maxillectomy are still good candidates for management with a prosthesis, the use of flap tissue alone or in combination with a prosthesis is sometimes necessary. With the advent of free tissue transfer, reconstruction of even the classic maxillectomy defect is becoming more common. Free flaps have also significantly improved our ability to reconstruct defects that were previously difficult or impossible to obturate effectively.
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