Premium
Le fort i osteotomy approach to the skull base
Author(s) -
Sasaki Clarence T.,
Lowlicht Roger A.,
Astrachan David I.,
Friedman Craig D.,
Goodwin W. Jarrard,
Morales Marco
Publication year - 1990
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 - 10.1288/00005537-199010000-00009
Subject(s) - clivus , skull , osteotomy , medicine , maxilla , base (topology) , orthodontics , anatomy , mathematics , mathematical analysis
Abstract Horizontal osteotomy allows the surgeon to safely down‐fracture the maxilla for wide exposure of the central skull base. This surgical approach is easily extended posteriorly in the midline to include the clivus and the arch of C1, providing 8 cm of horizontal anterior exposure and 5 cm of posterior. Wide operative exposure and a low rate of complications afford superior functional and cosmetic preservation in removing tumors of the central cranial base.