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Case Reports in Dentistry
Volume 2013, Article ID 865010, 4 pages
Case Report

Resection and Reconstruction of Maxillary Class IIIc Defect in a Case of Adenoid Cystic Carcinoma: Cost-Sensitive Technique without Microvascular Grafts

1Department of Oral & Maxillofacial Surgery, VYWS Dental College & Hospital, Amravati 444601, India
2Adwani Multispeciality Dental Hospital, Ambapeth, Amravati 444601, India
3Department of Head & Neck Oncology, Amravati Cancer Hospital, Amravati 444601, India
4Department of Pathology, Dr. PDMMC Hospital, Amravati 444601, India

Received 30 June 2013; Accepted 29 July 2013

Academic Editors: Y.-K. Chen and R. Crespi

Copyright © 2013 Dwarkadas Adwani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


ACC is a rare malignant tumor that affects most commonly the major and minor salivary glands and rarely the paranasal sinuses, lacrimal gland, larynx, ear, vulva, and so forth. The maxillary sinus when affected is considered having a poor prognosis due to delayed diagnosis and delayed treatment credited to its slow spread, late symptoms, and complex anatomy which hampers surgical resection. The expressions of tumor markers too have a significant role in determining the prognosis. The treatment of choice consists of wide radical resection of the tumor followed by radiotherapy. Rehabilitation options in cases with huge maxillary defects still need further exploration.