Evaluation of the Effect of Temporarily Controlling of External Carotid Artery and Immediate Obturator Design on patients Undergoing Partial Maxillectomy

Hossam Abdelkader El-Fol, Ashraf E. Eskander, Mohamed Galal Beheiri and Waleed Ali ALzaqri

Department of Surgical Oncology, Menofia University, Egypt
Department of Oral and Maxillofacial Prosthesis, Cairo University, Egypt
Department of Oral and Maxillofacial Surgery, Cairo University, Egypt

^*Correspondance to: Waleed Ali ALzaqri 

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Abstract:

Purpose: Management of malignant maxillary tumors with reduces of bleeding, totally eradication of tumor, and maintaining facial contour and rapid re-establishment of mastication. Patients and
Method: In group I, surgical treatment was started with neck dissection and vascular control of external carotid artery, partial maxillectomy followed by immediate obturator with a buccal-retaining flange and artificial teeth. While in group II, surgical treatment started by partial maxillectomy, classic neck dissection followed by conventional immediate obturator without artificial teeth. Electromyographic (EMG) activities of the masseter and temporalis muscles of the intact and surgical sides were recorded for all patients, one day before surgery; and three months after surgery using Caldwell Excel EMG/EP appliance with surface electrodes.
Result: Of 20 patients showed EMG activities highly significant increase in suggested design in both muscles of intact and defect sides in compare to other design. No significant difference of blood loss between both groups.
Conclusion: Vascular control of external carotid artery showed clean surgical field during maxillectomy that facilitate check margin of surgical ablation from any residual lesion, also reduce time waste of obturator adjustment. Design of obturator in group I showed more muscle activity and improve of psychological aspect of the patients.

Keywords:

Maxillectomy; Immediate obturator; External carotid artery

Cite the Article:

El-Fol HA, Eskander AE, Beheiri MG, ALzaqri WA. Evaluation of the Effect of Temporarily Controlling of External Carotid Artery and Immediate Obturator Design on patients Undergoing Partial Maxillectomy. World J Surg Surgical Res. 2019; 2: 1095.