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Head Neck. 2009 Jan;31(1):102-10. doi: 10.1002/hed.20934.

Mandibular osteotomies for access to select parapharyngeal space neoplasms.

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  • 1Department of Oral and Maxillofacial Surgery, University of California, San Francisco, California, USA.

Abstract

BACKGROUND:

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

METHODS:

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.

RESULTS:

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.

CONCLUSION:

We found that the single and double mandibular osteotomies provided excellent surgical access allowing for total tumor removal with few sequelae.

(c) 2008 Wiley Periodicals, Inc. Head Neck, 2009.

PMID:
18853448
[PubMed - indexed for MEDLINE]
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