Sumatera Medical Journal
Vol. 9 No. 3 (2026): Sumatera Medical Journal (SUMEJ)

Patient Specific Titanium Implant Post Maxillectomy: The Evolution of Surgical Reconstruction

Jeeven Velayutham (Department of Otorhinolaryngology, Faculty of Medicine, University of Malaya, Kuala Lumpur, 50603, Malaysia)
Liew Yew Toong (Department of Otorhinolaryngology, Faculty of Medicine, University of Malaya, Kuala Lumpur, 50603, Malaysia)
Sakina Ghauth (Department of Otorhinolaryngology, Faculty of Medicine, University of Malaya, Kuala Lumpur, 50603, Malaysia)



Article Info

Publish Date
01 Sep 2026

Abstract

Background: Malignancies arising from paranasal sinus account for 0.2-0.8% of all malignant neoplasms and 3% of the malignant neoplasms occurring in the head and neck. Surgical treatment of maxillary sinus carcinoma often consists of an open sub-total or total maxillectomy with a subsequent significant defect. Besides, the proximity of the maxillary sinus with complex anatomical structures make reconstruction a major challenge for head and neck surgeons. Reconstruction with temporalis myofascial flap along with titanium implant have proven to be a reliable reconstruction technique. Objective:The objective of this case report is to highlight our surgical management and reconstruction method for maxillary sinus cancer. Methods: We present a case of maxillary sinus squamous cell carcinoma in a 69 years old patient, who underwent total maxillectomy and reconstruction of surgical defect with 3D printed patient specific titanium implant and temporalis myofascial flap. Results: The patient had adequate postoperative functional and aesthetic outcome. The objective of this case report is to highlight our surgical management and reconstruction method for maxillary sinus cancer. Conclusion: The reconstruction method brings reliable and satisfactory functional result and quality of life with minimal complications.

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Journal Info

Abbrev

smj

Publisher

Subject

Immunology & microbiology Medicine & Pharmacology

Description

Sumatera Medical Journal (SUMEJ) provides a forum for publishing the full research articles in the area of Medical Science related to topics from the following subject areas: -Cancer and Related Aspects -Biomoleculer in Basic Sciences -Biomoleculer in Clinical Sciences -Tissue Engineering including ...