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Mandibular Osteotomies for Access to Select Parapharyngeal Space Neoplasms by Antonia Kolokythas; David W. Eisele; Ivan El‐Sayed; Brian L. Schmidt is a Medicine article available to read on EtoBox.
What is Mandibular Osteotomies for Access to Select Parapharyngeal Space Neoplasms about?
## 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. © 2008 Wiley Periodicals, Inc. Head Neck, 2009
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- Author
- Antonia Kolokythas; David W. Eisele; Ivan El‐Sayed; Brian L. Schmidt
- Publisher
- John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley; Research Square (ISSN 1043-3074)
- Published
- 2008
- Language
- EN
- Field
- Medicine (Health Sciences)