This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

An Interdisciplinary Approach

Benjamin G. Wood, MD; Edward S. Sadar, MD; Howard L. Levine, MD; Donald F. Dohn, MD; Harvey M. Tucker, MD

Arch Otolaryngol. 1980;106(1):1-5.

Abstract
• Lesions of the clivus, upper cervical vertebrae, and the cervicomedullary junction often present difficulties to the neurologic surgeon. Currently available surgical approaches often provide less than optimal exposure, for both removal of the primary lesion and repair of the dura. A transoral approach that combines a median labiomandibular glossotomy, soft palate "split," and hard palate resection has been used in illustrative cases. This technique not only provides maximum transverse and sagittal exposure, but considerably reduces the operating distance between the neurosurgeon and the cervicomedullary junction. Fresh cadaver dissections helped to better define the surgical landmarks of the clivus and the underlying intradural vascular and neural structures.

(Arch Otolaryngol 106:1-5, 1980)

Author Affiliations
From the Cleveland Clinic Foundation.

Footnotes
Accepted for publication Jan 8, 1979.

Presented before the American Society for Head and Neck Surgery and the Society of Head and Neck Surgeons, Toronto, May 29, 1978.

Reprint requests to Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44106 (Dr Wood).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Le Fort I Osteotomy and Skull Base Tumors: A Pediatric Experience
Lewark et al.
Arch Otolaryngol Head Neck Surg 2000;126:1004-1008.
ABSTRACT | FULL TEXT  

The Extended Maxillotomy and Subtotal Maxillectomy for Excision of Skull Base Tumors
Cocke et al.
Arch Otolaryngol Head Neck Surg 1990;116:92-104.
ABSTRACT  

Skull Base Surgery in Composite Resection
Krespi and Sisson
Arch Otolaryngol Head Neck Surg 1982;108:681-684.
ABSTRACT  

A New Technique for Wide-Field Exposure of the Base of the Skull
Biller et al.
Arch Otolaryngol Head Neck Surg 1981;107:698-702.
ABSTRACT  

Dental Considerations in Median Labiomandibular Glossotomy
WESSBERG and HILL
Arch Otolaryngol Head Neck Surg 1981;107:650-650.
ABSTRACT