Serveur d'exploration sur le patient édenté

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Mandibular osteotomies for access to select parapharyngeal space neoplasms

Identifieur interne : 004F41 ( Istex/Corpus ); précédent : 004F40; suivant : 004F42

Mandibular osteotomies for access to select parapharyngeal space neoplasms

Auteurs : Antonia Kolokythas ; David W. Eisele ; Ivan El-Sayed ; Brian L. Schmidt

Source :

RBID : ISTEX:9EE71CDE83720C7D9C9E0A3D1D5C6B59B55C2CE6

English descriptors

Abstract

Tumors involving the parapharyngeal space present a challenge of surgical access.

Url:
DOI: 10.1002/hed.20934

Links to Exploration step

ISTEX:9EE71CDE83720C7D9C9E0A3D1D5C6B59B55C2CE6

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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>
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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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