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Head Neck. 2003 Dec;25(12):1000-3.

Vertical ramus osteotomy combined with a parasymphyseal mandibulotomy for improved access to the parapharyngeal space.

Author information

1
Department of Maxillofacial Surgery/Head and Neck Surgery, Queen Alexandra Hospital, Portsmouth PO6 3LY, United Kingdom.

Abstract

BACKGROUND:

A number of procedures have been described that facilitate access to the parapharyngeal space. Their use may be limited because of restricted access or postoperative morbidity.

METHODS:

We describe the use of two mandibular osteotomies to greatly enhance the exposure of the parapharyngeal space, with possible access up to the skull base.

RESULTS:

We have performed this procedure in three cases with minimal postoperative morbidity and no neurologic deficit or occlusal disturbances.

CONCLUSIONS:

We have found that the osteotomies described provide far better exposure to this area than a single mandibular osteotomy alone. Furthermore, it avoids a facial scar.

PMID:
14648858
DOI:
10.1002/hed.10321
[Indexed for MEDLINE]
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