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Vertical ramus osteotomy combined with a parasymphyseal mandibulotomy for improved access to the parapharyngeal space
Author(s) -
Smith Graham I.,
Brennan Peter A.,
Webb Andrew A.,
Ilankovan Vellupilai
Publication year - 2003
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.10321
Subject(s) - parapharyngeal space , medicine , osteotomy , skull , surgery , orthodontics
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.