Maxillectomy Through Mandibulotomy—A Retrospective Clinical Review

Nair, S.; Sridhar, K; Shah, Anjan; Kumar, B.; Nayak, Kishore; Shetty, Pritam

doi:10.1016/j.joms.2010.10.030

Cited by 15 publications

(4 citation statements)

References 15 publications

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“…The final cosmetic result is optimized by restoring the normal anatomical position of the maxilla and mandible with stable fixation and careful approximation of the soft tissues. The Dieffenbach's modification of Weber-Fergusson's approach may be combined with a lip-splitting mandibulotomy approach so that the posterior aspect of the tumor can be resected in a more direct fashion or the mandibulotomy can be performed alone [13]. Dieffenbach's modification of Weber-Fergusson's approach provides a very good exposure of the maxillary region.…”

Section: Resultsmentioning

confidence: 99%

Versatility of Dieffenbach’s Modification of Weber Fergusson’s Approach for Treatment of Maxillary Pathologies

Gaddipati

Vura

Ramisetti

et al. 2012

J. Maxillofac. Oral Surg.

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Objective The aim of the study is to evaluate the usage of Dieffenbach's modification of Weber-Fergusons approach in the treatment of lesions involving maxilla. Study In this study five different maxillary pathologies were approached through Dieffenbach's modification of Weber-Fergusons approach. Partial and subtotal procedures were performed depending on the type of pathology and the extent of the lesion which was assessed both clinically and radiologically. The study evaluates the easy exposure of the site, post operative complications like scar formation and infra orbital nerve parasthesia. Results There were two subtotal maxillectomy procedures and three partial maxillectomy procedures approached through Dieffenbach's modification of WeberFergusson's approach. All the cases recovered well in the post operative healing period without noticeable scarring. There was parasthesia in three cases which subsided in 3 months. Conclusion The approach through Dieffenbach's modification of Weber-Fergusons incision gave better visibility and accessibility to the lesions of maxilla. Because there is direct access to the pathology, the inadvertent resection of the un-involved structures is prevented thus minimizing the morbidity.

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Section: Resultsmentioning

confidence: 99%

Versatility of Dieffenbach’s Modification of Weber Fergusson’s Approach for Treatment of Maxillary Pathologies

Gaddipati

Vura

Ramisetti

et al. 2012

J. Maxillofac. Oral Surg.

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“…Three patients had osteotomy-related complications that required secondary intervention. 14 The ALTF was used to repair class III maxillary defects in 4 patients and postoperative diplopia in 1 patient. 15 The free flaps and titanium prebent implants created were used to repair the orbital wall and perform floor reconstruction after maxillectomy for 11 patients through a lateral rhinotomy or a Weber-Ferguson approach; 5 patients developed epiphora, whereas 1 patient with upper maxillary SCC underwent surgery and radiotherapy, then developed skin necrosis and titanium exposure.…”

Section: Discussionmentioning

confidence: 99%

“…The 24 patients with tumors underwent maxillectomy through mandibular access osteotomy; 1 patient with ACC had a positive orbital margin. Three patients had osteotomy-related complications that required secondary intervention 14 . The ALTF was used to repair class III maxillary defects in 4 patients and postoperative diplopia in 1 patient 15 .…”

Section: Discussionmentioning

confidence: 99%

Maxillectomy and Flap Reconstruction of Maxillary Defects After Cancer Ablation Through the Lip-Split Parasymphyseal Mandibulotomy Approach in Patients With Advanced-Stage Maxillary Malignant Tumors

Chen

Zhou

Huang³

et al. 2023

Journal of Craniofacial Surgery

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Background:The conventional approach for maxillectomy has some common and serious complications. Aims: The present study evaluated the outcomes of maxillectomy and flap reconstruction after cancer ablation using the lip-split parasymphyseal mandibulotomy (LPM) approach. Methods: Twenty-eight patients with malignant tumors, including squamous cell carcinoma, adenoid cystic carcinoma, and mucoepidermoid carcinoma, underwent maxillectomy through the LPM approach. Brown classes II and III were reconstructed with the facial-submental artery submental island flap, an extensive segmental pectoralis major myocutaneous flap, and a free anterolateral thigh flap with the use of a titanium mesh, respectively. Results: All proximal margin frozen section specimens showed negative surgical margins. Anterolateral thigh flap failure occurred in 1 patient, whereas ophthalmic and mandibulotomy complications developed in 4 and 7 patients, respectively. In all, 84.6% of the patients had satisfactory or excellent lip esthetic results. Of the patients, 57.1% were alive with no evidence of disease, whereas 28.6% were alive with disease and 14.3% died of local recurrence or distant metastasis. No significant survival difference was evident among the squamous cell carcinoma, adenoid cystic carcinoma, and mucoepidermoid carcinoma groups.Conclusions: The LPM approach can provide good surgical access, facilitating maxillectomy in advanced-stage malignant tumors with minimal morbidity. Facial-submental artery submental island flap and anterolateral thigh flap or extensive segmental pectoralis major myocutaneous flap with a titanium mesh are ideal techniques for reconstructing Brown classes II and III defects, respectively.

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“…The patient had excision of the lesion with a posterior partial maxillectomy, with a mandibular split [125] for access (Fig. 28.9c, d).…”

Section: Recent Advancesmentioning

confidence: 99%

Benign Odontogenic Tumours

Shah

2021

Oral and Maxillofacial Surgery for the Clinician

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Odontogenic tumours of the maxillofacial region presents with a large number of histologic patterns and are derived from the primordial tooth forming tissues. They can occur most commonly in mandible and maxilla. The recent WHO classification helps in developing the appropriate treatment plan and categorizing the tumours. The present chapter deals with various benign odontogenic tumours with their clinical presentation and management in detail, based on clinical scenarios.

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Maxillectomy Through Mandibulotomy—A Retrospective Clinical Review

Cited by 15 publications

References 15 publications

Versatility of Dieffenbach’s Modification of Weber Fergusson’s Approach for Treatment of Maxillary Pathologies

Versatility of Dieffenbach’s Modification of Weber Fergusson’s Approach for Treatment of Maxillary Pathologies

Maxillectomy and Flap Reconstruction of Maxillary Defects After Cancer Ablation Through the Lip-Split Parasymphyseal Mandibulotomy Approach in Patients With Advanced-Stage Maxillary Malignant Tumors

Benign Odontogenic Tumours

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