Maxillectomy conventionally requires a Weber-Ferguson transfacial incision, which leaves a permanent facial scar. We describe a purely transoral hemimaxillectomy in a 28-year-old man with extensive fibrous dysplasia of the left maxilla that had recurred after 3 conservative procedures elsewhere and was progressively narrowing the orbit....
✦ The floor
Discussion
Signed responses from readers of the wire.
No actionable change for audiologists — this is a maxillofacial surgical case report with no direct hearing-health implications.
While outside core audiology, advances in scarless maxillofacial reconstruction may occasionally be relevant to multidisciplinary teams managing craniofacial conditions that co-occur with hearing disorders.
- 01Case report of a fully transoral (through-the-mouth) hemimaxillectomy — no external facial incisions.
- 02Immediate free-flap reconstruction (rebuilding the jaw using transplanted body tissue) performed in the same operation.
- 03Condition treated: extensive maxillary fibrous dysplasia (abnormal bone overgrowth in the upper jaw).
- 04Avoids the Weber-Ferguson incision, which leaves a prominent facial scar.
- 05No audiology or hearing-loss relevance identified in this single case.
A fully transoral approach for hemimaxillectomy with immediate free-flap reconstruction is feasible and avoids facial scarring associated with the Weber-Ferguson approach.
studypartially supported- PMID
- 42930456
- DOI
- 10.1097/SCS.0000000000013500.
- Journal
- Journal of Craniofacial Surgery
- Publication type
- case_report
- Evidence level
- 4
- Sample size
- 1
- Population
- Single patient with extensive maxillary fibrous dysplasia
- Intervention
- Transoral hemimaxillectomy with immediate free-flap reconstruction
- Comparator
- Historical comparison to Weber-Ferguson open approach
Primary outcomes
Surgical feasibility of scarless transoral resection; Adequacy of immediate free-flap reconstruction