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Modifications of the midline mandibulotomy for access to the parapharyngeal space
Author(s) -
Jungehuelsing Markus,
GuntinasLichius Orlando,
Klussmann Jens Peter,
Eckel Hans Edmund,
Stennert Eberhard
Publication year - 2010
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.20872
Subject(s) - parapharyngeal space , medicine , inferior alveolar nerve , occlusion , facial nerve , osteotomy , sensation , surgery , temporomandibular joint , orthodontics , psychology , molar , neuroscience
When considering a mandibular osteotomy for access to resect a parapharyngeal neoplasm, the following goals should be considered: preservation of the facial nerve, complete removal of the neoplasm without tumor rupture, maintenance of the preoperative teeth occlusion, acceptable temporomandibular joint function, functional preservation of the inferior alveolar nerve sensation, and satisfying aesthetic results. We propose a modified median osteotomy technique, which combines the advantages of sufficient exposition of the tumor with very good functional and aesthetic results. A case series of nine patients suffering from extended pleomorphic adenomas of the inner lobe of the parotid gland is presented. Laryngoscope, 2010