A new transfacial approach for lesions of the clivus and parapharyngeal space: the partial segmented Le Fort I osteotomy.
Plast Reconstr Surg
; 103(3): 955-9, 1999 Mar.
Article
de En
| MEDLINE
| ID: mdl-10077087
ABSTRACT
Tumors of the clival and parapharyngeal areas are a challenge because of their location. They used to be considered inaccessible because the aggressive approaches employed caused elevated levels of morbidity. This fact led to more conservative approaches that attempted to preserve the exposure of the lesion. These approaches were a combination of cranial and facial procedures, thus utilizing a combined effort between neurosurgeons and maxillofacial surgeons. We described our experience with a partial segmented Le Fort I osteotomy added to a transmandibular approach to expose a chordoma of the clivus and left parapharyngeal space. A three-dimensional imaging was used as a diagnostic tool and to plan the optimal surgical approach. The operative technique was described in this case study. Some important technical details of the approach are described. The global outcome was favorable.
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Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Chordome
/
Tumeurs du pharynx
/
Tumeurs de la base du crâne
/
Ostéotomie de Le Fort
/
Maxillaire
Limites:
Adult
/
Female
/
Humans
Langue:
En
Journal:
Plast Reconstr Surg
Année:
1999
Type de document:
Article
Pays d'affiliation:
Espagne