Open AccessTransmandibular approach to total maxillectomy
Author(s) -
R. M. Tiwari
Publication year - 2001
Publication title -
indian journal of otolaryngology and head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.229
H-Index - 22
eISSN - 2231-3796
pISSN - 0973-7707
DOI - 10.1007/bf03028550
Subject(s) - medicine , maxilla , infratemporal fossa , pterygopalatine fossa , otorhinolaryngology , radiation therapy , head and neck surgery , maxillary sinus , dentistry , surgery , skull
Total Maxillectomy through transfacial approach has been practiced in the treatment of Cancer for more than a decade. Its role in T(3) - T(4) tumors extending posteriorly through gthe bony wall is questionable, since an oncological radical procedure is often not possible. Recurrences in the infratemporal fossa are common. Despite the addition of radiotherapy five year survivals have not significantly improved. Transmandibular approach to Total Maxillectomy overcomes this shortcoming by including the pterygopalatine fossa enbloc with the maxilla. Early experience is presented.