Combined approach for extensive maxillectomy: technique and cadaveric dissection

Rivera-Serrano, Carlos M.; Terre-Falcon, Ramon; Duvvuri, Umamaheswar

doi:10.1016/j.amjoto.2010.07.023

Cited by 13 publications

(18 citation statements)

References 8 publications

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“…Cadavers have been widely used to evaluate surgical approaches in otorhinolaryngology and head and neck surgery. [41][42][43][44] Nevertheless, the primary limitation of this study is that it utilized cadavers, which exhibit reduced tissue pliability compared to the living body. In order to improve tissue pliability, a phenol-glycerol technique was used to embalm the cadavers.…”

Section: Discussionmentioning

confidence: 99%

Determination of biometric measures to evaluate patient suitability for transoral robotic surgery

et al. 2014

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Section: Discussionmentioning

confidence: 99%

Determination of biometric measures to evaluate patient suitability for transoral robotic surgery

et al. 2014

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“…The posterior osteotomy can be performed more accurately under endoscopic assistance, and surgical margins can be more precisely secured. 6 Additional advantages of endoscopic techniques are angled visualization and magnification of the operative field, which allow a better view of the depths of the nasal cavities and sinuses, 3,7 and this was approved by recent cadaveric study. 6 Therefore, it may result in better tumor excision.…”

Section: Discussionmentioning

confidence: 99%

“…6 Additional advantages of endoscopic techniques are angled visualization and magnification of the operative field, which allow a better view of the depths of the nasal cavities and sinuses, 3,7 and this was approved by recent cadaveric study. 6 Therefore, it may result in better tumor excision. Transnasal endoscopic approaches for the resection of malignant tumors of the maxilla have been suggested for reducing perioperative morbidity and tumor recurrence.…”

Section: Discussionmentioning

confidence: 99%

Combined Transoral and Endoscopic Approach for Total Maxillectomy: A Pioneering Report

Liu

Wang

et al. 2013

J Neurol Surg B

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Total maxillectomy is sometimes necessary especially for malignant tumors originating from the maxillary sinus. Here we describe a combined transoral and endoscopic approach for total maxillectomy for the treatment of malignant maxillary sinus tumors and evaluate its short-term outcome. This approach was evaluated in terms of the physiological function, aesthetic outcome, and complications. Six patients underwent the above-mentioned approach for resection of malignant maxillary sinus tumors from May 2010 to June 2011. This combined transoral and endoscopic approach includes five basic steps: total sphenoethmoidectomy, sublabial incision, incision of the frontal process of the maxilla, incision of the zygomaticomaxillary fissure, and hard palate osteotomy. All patients with malignant maxillary sinus tumors successfully underwent the planned total endoscopic maxillectomy without the need for facial incision or transfixion of the nasal septum; there were no significant complications. Five patients received preoperative radiation therapy. All patients were well and had no recurrence at follow-up from 13 to 27 months. The combined approach is feasible and can be performed in carefully selected patients. The benefit of the absence of facial incisions or transfixion of the nasal septum, potential improvement in hemostasis, and visual magnification may help to decrease the morbidity of traditional open approaches.

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“…The nasoseptal flap in the current study, which was based on a posterior nasoseptal artery (a branch of the sphenopalatine artery), 12 was thick and long enough to cover the defect of 4.5 cm × 3 cm, with a meticulous elevation of mucoperichondrium flap of the contralateral side. Posterior septectomy created a passage hole for the flap, allowing us to reach the most anterior and lateral part of the alveolar process for closure of the defect, as shown in Figures 3 and 4.…”

Section: 10mentioning

confidence: 99%

Nasoseptal flap for palatal reconstruction after hemi-maxillectomy: case report

et al. 2017

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Objective: Palatal reconstruction following maxillectomy is a surgical challenge, and a nasoseptal flap is a feasible approach. This paper reports the first known successful clinical case of a nasoseptal pedicle flap applied for the reconstruction of maxillary bone following hemi-maxillectomy.Case report: This report describes hemi-maxillectomy in a 60-year-old Italian male diagnosed with stage IV squamous cell carcinoma of the left maxilla. Endoscopic transnasal extended medial maxillectomy was performed, followed by a transoral modified midfacial degloving technique for removal of the maxillary bone. The contralateral nasoseptal pedicle flap was used to reconstruct the defect. The case was followed up prospectively for the assessment of flap reception and healing.Conclusion: The locally accessible nasoseptal flap is a viable alternative for palatal reconstruction; therefore, a second surgical procedure with its associated donor site morbidity can be avoided. Large-scale studies may help in establishing the cosmetic and functional outcomes.

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Combined approach for extensive maxillectomy: technique and cadaveric dissection

Cited by 13 publications

References 8 publications

Determination of biometric measures to evaluate patient suitability for transoral robotic surgery

Determination of biometric measures to evaluate patient suitability for transoral robotic surgery

Combined Transoral and Endoscopic Approach for Total Maxillectomy: A Pioneering Report

Nasoseptal flap for palatal reconstruction after hemi-maxillectomy: case report

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