Vertical ramus osteotomy combined with a parasymphyseal mandibulotomy for improved access to the parapharyngeal space

Smith, Glenn; Brennan, Peter A.; Webb, A.A.C.; Ilankovan, Vellupilai

doi:10.1002/hed.10321

Cited by 29 publications

(20 citation statements)

References 18 publications

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“…In double mandibular osteotomies a COR may be added, especially tumors of the deep lobe of the parotid of salivary origin 16 . The transmandibular approach may include, apart from the submandibular incision, a lip-split 1 or a preauricular extension 15 , but other authors think that this is not necessary 25,29 .…”

Section: Discussionmentioning

confidence: 98%

Parapharyngeal space tumors: surgical approaches in a series of 13 cases

Papadogeorgakis¹,

Petsinis²,

Goutzanis³

et al. 2010

International Journal of Oral and Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 98%

Parapharyngeal space tumors: surgical approaches in a series of 13 cases

Papadogeorgakis¹,

Petsinis²,

Goutzanis³

et al. 2010

International Journal of Oral and Maxillofacial Surgery

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“…Mandibulotomy of the body (median or paramedian), ramus, or the angle should preserve the inferior alveolar nerve as well as the hypoglossal and the lingual nerves although at risk in this approach. Some authors perform a non‐lip‐splitting mandibulotomy omitting the procedure of lower lip‐splitting incision to improve the aesthetic results and to decrease the functional morbidities of the lower lip …”

Section: Surgerymentioning

confidence: 99%

“…Some authors perform a non-lipsplitting mandibulotomy omitting the procedure of lower lip-splitting incision to improve the aesthetic results and to decrease the functional morbidities of the lower lip. [47][48][49][50] An infratemporal fossa approach type A, B, or D may be used for tumors involving the skull base or jugular foramen, extending into the infratemporal fossa or with significant intracranial extension ( Figure 5). 9,51 Tumors with invasion of the PPS and the infratemporal fossa with extension to the floor of the middle cranial fossa can be removed by means of the preauricular subtemporal approach with low morbidity.…”

Section: Surgerymentioning

confidence: 99%

Contemporary management of primary parapharyngeal space tumors

et al. 2018

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The parapharyngeal space is a complex anatomical area. Primary parapharyngeal tumors are rare tumors and 80% of them are benign. A variety of tumor types can develop in this location; most common are salivary gland neoplasm and neurogenic tumors. The management of these tumors has improved greatly owing to the developments in imaging techniques, surgery, and radiotherapy. Most tumors can be removed with a low rate of complications and recurrence. The transcervical approach is the most frequently used. In some cases, minimally invasive approaches may be used alone or in combination with a limited transcervical route, allowing large tumors to be removed by reducing morbidity of expanded approaches. An adequate knowledge of the anatomy and a careful surgical plan is essential to tailor management according to the patient and the tumor. The purpose of the present review was to update current aspects of knowledge related to this more challenging area of tumor occurrence.

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“…PA of the parapharyngeal space tumors can rarely be excised with a complete cuff of normal tissue. In selected cases, osteotomies are needed to ensure access for tumor clearance . Paramedian osteotomy between the canine and first premolar and double mandibular osteotomies using a combination of a horizontal osteotomy above the lingual, and a paramedian osteotomy between the canine and first premolar provide excellent surgical access .…”

Section: Parapharyngeal Space Rpamentioning

confidence: 99%

Etiology and management of recurrent parotid pleomorphic adenoma

et al. 2014

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The objective of this review study was to encompass the relevant literature and current best practice options for this challenging, sometimes incurable problem. The source of the data was Ovid MEDLINE from 1946 to 2014. Review methods consisted of articles with clinical correlates. The most important cause of recurrence is enucleation with rupture and incomplete tumor excision at operation. Incomplete pseudocapsule, extracapsular extension, pseudopods of pleomorphic adenoma tissue, and satellite pleomorphic beyond the pseudocapsule are also likely linked to recurrent pleomorphic adenoma. Most recurrent pleomorphic adenoma are multinodular. Magnetic resonance imaging is the imaging study of choice for recurrent pleomorphic adenoma. Nerve integrity monitoring may reduce morbidity for recurrent pleomorphic adenoma. Treatment of recurrent pleomorphic adenoma must be individualized. Total parotidectomy, given the multicentricity of recurrent pleomorphic adenoma, is appropriate in many patients, but may be inadequate to control recurrent pleomorphic. There is accumulating evidence from retrospective series that postoperative radiation therapy results in significantly better local control.

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Vertical ramus osteotomy combined with a parasymphyseal mandibulotomy for improved access to the parapharyngeal space

Abstract: We have found that the osteotomies described provide far better exposure to this area than a single mandibular osteotomy alone. Furthermore, it avoids a facial scar.

Cited by 29 publications

References 18 publications

Parapharyngeal space tumors: surgical approaches in a series of 13 cases

Parapharyngeal space tumors: surgical approaches in a series of 13 cases

Contemporary management of primary parapharyngeal space tumors

Etiology and management of recurrent parotid pleomorphic adenoma

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