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Single, subcondylar mandibular osteotomy: a new access route for extensive, benign parapharyngeal neoplasms

Published online by Cambridge University Press:  10 March 2010

B Bianchi ,
A Ferri ,
S Ferrari ,
C Copelli ,
A S Magri  and
E Sesenna
B Bianchi
Affiliation:
Maxillo-Facial Surgery Division, Head and Neck Department, University and Hospital of Parma, Italy
A Ferri*
Affiliation:
Maxillo-Facial Surgery Division, Head and Neck Department, University and Hospital of Parma, Italy
S Ferrari
Affiliation:
Maxillo-Facial Surgery Division, Head and Neck Department, University and Hospital of Parma, Italy
C Copelli
Affiliation:
Maxillo-Facial Surgery Division, Head and Neck Department, University and Hospital of Parma, Italy
A S Magri
Affiliation:
Maxillo-Facial Surgery Division, Head and Neck Department, University and Hospital of Parma, Italy
E Sesenna
Affiliation:
Maxillo-Facial Surgery Division, Head and Neck Department, University and Hospital of Parma, Italy
*
Address for correspondence: Dr Andrea Ferri, Via La Spezia 120/1, 43100 Parma, Italy. Fax: +390521703761 E-mail: a.ferri@libero.it
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Abstract

Objective:

We report a new approach to benign parapharyngeal space tumours: a single, subcondylar mandibular osteotomy.

Method:

Case report and review of the world literature concerning parapharyngeal space access and the various types of mandibular osteotomy.

Results:

The use of a single, subcondylar mandibular osteotomy achieves good exposure and satisfactory aesthetic and functional results, using a simple, easily performed technique that is fast and has minimal morbidity. In addition, this technique preserves the submandibular gland and avoids lip-splitting and post-operative intermaxillary fixation.

Conclusion:

To our knowledge, this is the first report of this approach to the parapharyngeal space. We propose this approach as the first choice for resection of benign neoplasms of the parapharyngeal space.

Keywords

Parapharyngeal SpaceMandibleOsteotomyOtorhinolaryngologic Surgical Procedures
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 8 , August 2010 , pp. 909 - 912
Copyright
Copyright © JLO (1984) Limited 2010

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