 |
|
Combined Median Mandibulotomy and Weber-Fergusson Maxillectomy
William Lawson, MD, DDS;
Rahul K. Naidu, MD;
Jeffrey Le Benger, MD;
Hugh F. Biller, MD
Arch Otolaryngol Head Neck Surg. 1990;116(5):596-599.
Abstract
| |
• Monoblock surgical resection in combination with radiotherapy remains the most effective method of treatment for advanced carcinoma of the maxillary sinus. Extension of antral carcinoma into the infratemporal and pterygopalatine fossae decreases the probability of achieving an all-encompassing resection via the classic anterolateral Weber-Fergusson approach because of limited posterior access. Temporal and lateral infratemporal fossa approaches have been described and involve either mobilization of the zygomatic arch or a lateral mandibular osteotomy, respectively. We report the use of a median labiomandibulotomy combined with the Weber-Fergusson approach for lesions extending posteriorly. The labiomandibulotomy with paralingual extension along the floor of the mouth allows rotation of the coronoid process laterally and exposes the infratemporal fossa to its posterior margin. We present two cases in which this approach was used to extirpate lesions that had extended posteriorly. Relevant anatomy, operative technique, potential complications, and limitations, as well as a comparison with other methods of exposure, are discussed.
(Arch Otolaryngol Head Neck Surg. 1990;116:596-599)
Author Affiliations
From the Department of Otolaryngology, Mt Sinai Medical Center, New York, NY.
Footnotes
Accepted for publication September 19, 1989.
Presented in part at the annual meeting of the American Society for Head and Neck Surgery, San Francisco, Calif, April 5, 1989.
Reprint requests to Department of Otolaryngology, Mt Sinai Medical Center, One Gustave L. Levy PI, New York, NY 10029-6574 (Dr Lawson).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Sinus Neoplasia
Osguthorpe
Arch Otolaryngol Head Neck Surg 1994;120:19-25.
ABSTRACT
|
