Аннотация
Introduction: The term “maxillectomy” has been used to describe a variety of surgical procedures for a spectrum of diseases involving a diverse anatomical site. Hence, classifications of maxillectomy defects have often made communication difficult. This article highlights this problem, emphasises the need for a uniform system of classification and suggests a classification system which is simple and comprehensive.
Methods: Articles related to this subject, especially those with specified classifications of maxillary surgical defects were sourced from the internet through Google, Scopus and PubMed using the search terms maxillectomy defects classification. A manual search through available literature was also done. The review of the materials revealed many classifications and modifications of classifications from the descriptive, reconstructive and prosthodontic perspectives.
Results: No globally acceptable classification exists among practitioners involved in the management of diseases in the mid-facial region. There were over 14 classifications of maxillary defects found in the English literature.
Conclusion: Attempts made to address the inadequacies of previous classifications have tended to result in cumbersome and relatively complex classifications. A single classification that is based on both surgical and prosthetic considerations is most desirable and is hereby proposed.
Keywords: Maxillectomy, classification.
Résumé
Introduction: Le terme «maxillectomie” est utilisé pour décrire une variété de procédures chirurgicales pour un spectre de maladies impliquant un site anatomique diversifié. Par conséquent, la classification des défauts de maxillectomie ont souvent rendu la communication difficile. Cet article met en lumière ce problème, souligne la nécessité d’un système uniforme de classification et propose un système de classification simple et claire.
Méthodes: Les articles liés à ce sujet, en particulier ceux avec les classifications précises de défauts de chirurgie maxillaire provenaient de l’Internet à travers Google, Scopus et Pub-Med en utilisant les termes maxillectomie de classification des défauts. Une recherche manuelle à travers la littérature disponible a également été faite. L’examen des documents a révélé de nombreuses classifications et de modifications des classifications des perspectives descriptives, reconstructives et prothétiques.
Résultats: Il n’existe pas de classification universellement acceptable entre les praticiens impliqués dansla gestion des maladies dans la région médio-faciale. Il y avait plus de 14 classifications de défauts maxillaires trouvés dans la littérature anglaise.
Conclusion: Les tentatives faites pour répondre les insuffisances des classifications précédentes ont eu tendance à entraîner des classifications encombrantes et relativement complexes. Une classification unique qui est fondée sur des considérations à la fois chirurgicale et prothétique est plus souhaitable et est donc proposé.
Correspondence: Dr. V.I. Akinmoladun, Department of Oral and Maxillofacial Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria. E-mail: viakinmoladun@yahoo.com
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