Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of maxillary defect secondary to [etiology: e.g., oncologic resection/trauma]. Brown classification assessed as Class [I-VI]. Patient reports [symptoms: e.g., nasal regurgitation, hypernasal speech, diplopia, or midface collapse]. Duration of defect: [time]. Previous interventions: [list procedures].
Clinical Examination Findings
Physical examination reveals a maxillary defect involving [anatomical extent]. Brown classification: Class [I-VI]. Assessment of defect margins: [stable/necrotic/granulating]. Palatal/alveolar integrity: [describe]. Assessment of orbital support/zygomatic complex: [intact/involved]. Velopharyngeal function: [competent/incompetent]. Intraoral soft tissue status: [describe mucosal health/scarring].
Treatment Protocol
Proposed management plan: [Surgical reconstruction/Prosthetic obturator]. Surgical approach: [Free flap/Local flap/Bone graft]. Brown Class [I-VI] reconstruction strategy: [describe specific technique, e.g., RFFF, ALT, or fibula free flap]. Post-operative goals: Restoration of maxillary continuity, separation of oral and nasal cavities, and optimization of midface projection.