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CASE REPORT
Year : 2013  |  Volume : 3  |  Issue : 2  |  Page : 193-197

Access osteotomies of maxillofacial region: A report of three cases


Department of Oral and Maxillofacial Surgery, Narayana Dental College and Hospital, Chintareddypalem, Nellore, Andhra Pradesh, India

Correspondence Address:
Mohammad Akheel
Narayana Dental College and Hospital, Chintareddypalem,Nellore - 524 002, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-9596.122985

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A plethora of pathologies occurs in the cranial base and deep spaces of the neck, the treatment of which poses a surgical challenge owing to the anatomical complexity, difficulty in access, and proximity of vital structures. A multidisciplinary approach is often required in these situations to strike a balance between preventing damage to the vital anatomic structures and complete removal of the lesions. This article describes our experience with three clinical situations that required access osteotomies of maxillofacial region that has facilitated complete to near total removal of the lesions. In the first case, an inferiorly pedicled zygomatic arch osteotomy was done to approach an osteomyelitis of sphenoid bone through the infratemporal fossa. In the second case, paramedian step osteotomy of mandible with mandibular swing was done to remove a lateral pharyngeal wall schwannoma. In the third case, a frontonasoorbital osteotomy was done to approach a lesion at clivus of middle cranial base. All the access osteotomies provided satisfactory exposure of the lesions and were fixed with miniplates, resulting in good restoration of facial skeletal morphology and function. Maxillofacial access osteotomies provide good access to the lesions with minimal surgical morbidity and distortion of facial esthetics.


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