Use of the Smith's Spreader as a Self-Retaining Retractor in the Direct Approach to Clival Tumours - A Technical Note.

The traditional Le Fort level 1 osteotomy has proven to be an effective in approaching central skull base lesions. The challenge being - stabilization of the down-fractured maxilla in an amenable position for tumour resection. The authors describe a simple technique to overcome the task of stabilizing the down-fractured maxilla.