Mandibular osteotomies for access to select parapharyngeal space neoplasms
Identifieur interne : 004F41 ( Istex/Corpus ); précédent : 004F40; suivant : 004F42Mandibular osteotomies for access to select parapharyngeal space neoplasms
Auteurs : Antonia Kolokythas ; David W. Eisele ; Ivan El-Sayed ; Brian L. SchmidtSource :
- Head & Neck [ 1043-3074 ] ; 2009-01.
English descriptors
- KwdEn :
- Adenoma, Anterior mandibular osteotomy, Anterior osteotomy, Arch bars, Black arrow, Double mandibular osteotomy, Double mandibular osteotomy technique, Double osteotomy, Head january, Head neck, Horizontal osteotomy, Inferior alveolar nerve, Interdental, January, Lateral, Lingual, Lingual splint, Mandible, Mandibular, Mandibular incisor, Mandibular osteotomies, Mandibular osteotomy, Mandibular ramus, Mandibulotomy, Maxillofac, Maxillofacial, Maxillofacial surgery, Medial, Medial aspect, Mental foramen, Mental nerve, Neck surgery, Neoplasm, Occlusion, Oral maxillofac surg, Orthognathic surgery, Osteotomy, Osteotomy site, Parapharyngeal, Parapharyngeal space, Parapharyngeal space access, Parapharyngeal space tumors, Postoperative, Ramus, Resection, Single osteotomy, Splint, Surg, Surgical, Surgical access, Surgical exposure, Temporomandibular, Transcervical, Transcervical approach, Tumor type, Xation.
- Teeft :
- Adenoma, Anterior mandibular osteotomy, Anterior osteotomy, Arch bars, Black arrow, Double mandibular osteotomy, Double mandibular osteotomy technique, Double osteotomy, Head january, Head neck, Horizontal osteotomy, Inferior alveolar nerve, Interdental, January, Lateral, Lingual, Lingual splint, Mandible, Mandibular, Mandibular incisor, Mandibular osteotomies, Mandibular osteotomy, Mandibular ramus, Mandibulotomy, Maxillofac, Maxillofacial, Maxillofacial surgery, Medial, Medial aspect, Mental foramen, Mental nerve, Neck surgery, Neoplasm, Occlusion, Oral maxillofac surg, Orthognathic surgery, Osteotomy, Osteotomy site, Parapharyngeal, Parapharyngeal space, Parapharyngeal space access, Parapharyngeal space tumors, Postoperative, Ramus, Resection, Single osteotomy, Splint, Surg, Surgical, Surgical access, Surgical exposure, Temporomandibular, Transcervical, Transcervical approach, Tumor type, Xation.
Abstract
Tumors involving the parapharyngeal space present a challenge of surgical access.
Url:
DOI: 10.1002/hed.20934
Links to Exploration step
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Background
<p>Tumors involving the parapharyngeal space present a challenge of surgical access.</p>
Methods
<p>We reviewed all parapharyngeal space tumors resected at the University of California, San Francisco, between 2003 and 2006 and identified 14 patients who had a mandibular osteotomy to enhance surgical access to the parapharyngeal space.</p>
Results
<p>The surgical approach for the 14 patients who had a mandibulotomy was accomplished via either 1 or 2 mandibular osteotomies. A single paramedian osteotomy between the canine and the first premolar was used in 4 cases, whereas a combination of a horizontal osteotomy above the lingula and a paramedian osteotomy between the canine and first premolar was employed in 8 cases. A lingual dental splint and rigid fixation were used to achieve mandibular stabilization and fixation.</p>
Conclusion
<p>We found that the single and double mandibular osteotomies provided excellent surgical access allowing for total tumor removal with few sequelae. © 2008 Wiley Periodicals, Inc. Head Neck, 2009</p>
</abstract>
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<p>The surgical approach for the 14 patients who had a mandibulotomy was accomplished via either 1 or 2 mandibular osteotomies. A single paramedian osteotomy between the canine and the first premolar was used in 4 cases, whereas a combination of a horizontal osteotomy above the lingula and a paramedian osteotomy between the canine and first premolar was employed in 8 cases. A lingual dental splint and rigid fixation were used to achieve mandibular stabilization and fixation.</p>
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<p>We found that the single and double mandibular osteotomies provided excellent surgical access allowing for total tumor removal with few sequelae. © 2008 Wiley Periodicals, Inc. Head Neck, 2009</p>
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