PMID: 11904033Mar 21, 2002Paper

Degloving transfacial approach with Le Fort I and nasomaxillary osteotomies: alternative transfacial approach

Neurosurgery
Kazuhiko KyoshimaShigeaki Kobayashi

Abstract

We present surgical results obtained with the use of an alternative transfacial approach to the central cranial base. A degloving transfacial approach, which is a combination of the midface degloving procedure, the Le Fort I osteotomy with a pediculated cartilaginous septum, and a nasomaxillary osteotomy, was used in 13 procedures for 8 patients. The lower clivus and upper cervical spine were approached via a submucosal route, without opening of the oropharyngeal mucosa. The wall of the nasopharynx was closed with the mucosa of the bony septum. Several patients had previously undergone other surgical procedures and received radiotherapy. The follow-up periods ranged from 4 months to 6.4 years. The same procedure was repeated three times for one patient, with intervals of 5.5 and 1.5 months, and twice for three patients, with intervals of 8.2, 6.3, and 1.3 years. A maxillary antrotomy or bifrontal craniotomy with removal of the orbital bar was combined with this technique. No significant or insurmountable technical problems were encountered, even among patients who had undergone previous surgery or radiotherapy. Our technique is relatively simple, with good cosmetic results, and affords sufficient access to the central cranial b...Continue Reading

References

Oct 1, 1979·American Journal of Surgery·J Conley, J C Price
Feb 1, 1979·Archives of Otolaryngology·U Fisch, H C Pillsbury
Sep 1, 1990·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·I P JaneckaM Arriaga
May 1, 1990·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·M G NagibR M Levinson
Jan 1, 1990·Archives of Otolaryngology--head & Neck Surgery·E W CockeJ P Crook
Nov 1, 1989·Journal of Neurosurgery·D UttleyD J Archer
Mar 1, 1988·The Laryngoscope·J C PriceD E Mattox
Mar 1, 1989·Archives of Otolaryngology--head & Neck Surgery·R L Crumley, P H Gutin
Jan 1, 1989·Neurosurgery·M SamiiA Sepehrnia
Mar 1, 1988·Neurosurgery·O Al-MeftyR R Smith
Jul 1, 1987·Journal of Neurosurgery·D J ArcherD Uttley
Jul 1, 1986·Archives of Otolaryngology--head & Neck Surgery·A J Maniglia
Jan 1, 1986·Acta neurochirurgica·F LesoinM Rousseaux
Jan 1, 1985·Advances and Technical Standards in Neurosurgery·E Pásztor
Nov 1, 1985·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·P J Derome
Jan 1, 1974·Plastic and Reconstructive Surgery·P R CassonJ M Converse
May 1, 1972·Journal of Neurosurgery·A N Guthkelch, R G Williams
Oct 1, 1971·The Laryngoscope·W A AlonsoS Uematsu
Apr 1, 1967·Journal of Neurosurgery·J P WissingerL A French
Oct 1, 1984·American Journal of Surgery·Y P Krespi, G A Sisson
Feb 1, 1984·Journal of Neurosurgery·E PásztorI Gádor
Nov 1, 1981·Archives of Otolaryngology·H F BillerY P Krespi
Jan 1, 1980·Archives of Otolaryngology·B G WoodH M Tucker
Jan 1, 1995·Neurosurgery·B SwearingenR G Ojemann
Jul 1, 1993·Journal of Neurosurgery·R F SpetzlerJ Milligan
Jan 1, 1991·Skull Base Surgery·V K AnandO Al-Mefty

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Citations

Apr 30, 2020·Journal of Maxillofacial and Oral Surgery·Thomas Zachariah, R S Neelakandan
Jul 11, 2020·The Journal of Craniofacial Surgery·Lilian Caldas QuirinoValfrido Antonio Pereira-Filho
Jul 10, 2014·The Journal of Craniofacial Surgery·Jiten ParmarLachlan M Carter

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