A maxillectomy removes part (partial) or the entirety (total) of the upper jaw (maxilla) to treat malignant or aggressive benign tumors affecting the sinus, palate, or cheek region. Partial maxillectomy spares uninvolved portions of the maxilla, whereas total maxillectomy removes the entire bone, often including adjacent orbital floor or nasal structures when necessary.
Dr. Singhavi’s protocol begins with comprehensive imaging (contrast CT/MRI) and endoscopic evaluation to determine tumor extent. He plans partial resections when oncologically safe to preserve facial contours; total resections are reserved for extensive disease. Preoperative 3D modeling guides the surgical osteotomies, ensuring accurate removal while safeguarding critical structures like the infraorbital nerve. Reconstruction planning—whether via immediate obturator prosthesis or microvascular free-flap (e.g., radial forearm or fibula)—is integrated from the outset. Nutritional support, speech evaluation, and psychosocial counseling precede surgery to optimize recovery.
With Dr. Singhavi’s precise execution, patients benefit from thorough disease eradication paired with thoughtful reconstructive strategies. Partial maxillectomy with immediate prosthetic obturation often restores speech and swallowing within days. In total resections, free-flap reconstruction recreates bony and soft-tissue contours, facilitating dental rehabilitation and restoring facial symmetry. This comprehensive approach reduces the need for revision surgeries, shortens hospitalization, and expedites return to normal activities—bolstering patient confidence and long-term quality of life.
