Surgical Management of the Tumor in the Parapharyngeal Space and Infratemporal Fossa Using Zygomatic arch and Mandibylar Osteotomy.
- Author:
Bong Seo LEE
1
;
Jung Soon NAM
;
Myoung Sook KOO
;
Shin Yu KIM
;
Dae Hyun KWON
;
Yong Gyu LEE
;
Tae Geon KWON
;
Jong Bae KIM
Author Information
1. Department of Oral & Maxillofacial Surgery, College of Medicine, Keimyung University.
- Publication Type:Case Report
- Keywords:
Parapharyngeal space;
Infratemporal fossa;
Tumor
- MeSH:
Animals;
Facial Nerve;
Horns;
Hyoid Bone;
Lip;
Mandible;
Mouth;
Neck;
Osteotomy*;
Scalp;
Skin;
Zygoma*
- From:Journal of the Korean Association of Oral and Maxillofacial Surgeons
2001;27(6):565-569
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A new surgical approach to the area of the infratemporal fossa and parapharyngeal space is described. This approach results in a wide-field exposure of the infratemporal fossa, pterygomaxillary space and parapharyngeal space. We used two osteotomies on the patient's mandible and temporary resection of zygomatic arch for superior margin of tumor. Lower lip splitting was not needed because the incision was started in the frontal scalp, curved in front of and below the external auditary canal, and extended anteriorly to the greater horn of hyoid bone on the neck along a skin crease. We had good results without sacrifice of the facial nerve, mandibular function and sensory supply of the face and oral cavity.