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Year : 2017  |  Volume : 36  |  Issue : 4  |  Page : 419-423

Pattern of maxillectomies: an analysis of 44 cases in a tertiary referral hospital, Sokoto, Northwest Nigeria

1 Department of Surgery, College of Health Sciences, Usmanu Danfodiyo University, Nigeria
2 Department of Ear, Nose and Throat (ENT), Head and Neck Surgery, Nigeria
3 Department of Dental and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital (UDUTH), Sokoto, Nigeria
4 Department of Oral and Maxillofacial Surgery, College of Medicine, University of Lagos, Lagos, Nigeria
5 Department of Dental and Maxillofacial Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria

Correspondence Address:
Abdurrazaq O Taiwo
Department of Surgery, College of Health Sciences, Usmanu Danfodiyo University, PMB - 12003, Sokoto
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ejs.ejs_70_17

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Background The maxilla occupies a prominent and crucial position in the facial structure. Maxillectomy is an ablative surgical resection of the maxilla with attendant serious cosmetic deficit. There is paucity of data on the indications and pattern of maxillectomy in our centre. This study would help in better management of patients requiring this treatment. Aim The aim of this study was to determine the pattern of presentation of patients for maxillectomy at Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria. Patients and methods This study was a retrospective review of theatre records of the hospital between January 2007 and March 2017. Patients data were collected for sociodemographics (age and sex), indication(s), clinical presentations, diagnosis/histologic subtypes, and type of maxillectomy performed. Result During the 11-year study period, a total of 44 patients underwent maxillectomy, aged 4–77 years (mean±SD=37.6±19.6 years) with a modal age of 31–40 years [11 (25.0%)]. There were 26 (59.1%) male and 18 (40.9%) female patients (male : female=1.8 : 1). Overall, benign lesions accounted for 12 (27.3%) cases and malignant lesions for 32 (72.7%) cases. There was statistical difference between the ages of benign (mean±SD=24.9±16.2 years) and malignant lesions (mean±SD=42.3±18.8 years) (t=−2.83, d.f.=42, P=0.0071). Benign lesions [11 (25.0%)] were commonly detected in those aged 40 years and younger, whereas malignancies [16 (36.4%)] were equally distributed across both divide. Total maxillectomy [34 (77.3%)] was the major surgical resection carried out, followed by subtotal maxillectomy [6 (13.6%)]. Conclusion There is urgent need to focus on the prevention of orofacial malignancy to avoid surgery and complex rehabilitative expenses.

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