Mandibular osteotomies for access to select parapharyngeal space neoplasms

Antonia Kolokythas, David W. Eisele, Ivan El-Sayed, Brian Schmidt

Research output: Contribution to journalArticle

Abstract

Background. Tumors involving the parapharyngeal space present a challenge of surgical access. Methods. We reviewed all parapharyngeal space tumors resected at the University of California, San Francisco, between 2003 and 2006 and identified 14 patients who had a mandibular osteotomy to enhance surgical access to the parapharyngeal space. Results. The surgical approach for the 14 patients who had a mandibulotomy was accomplished via either 1 or 2 mandibular osteotomies. A single paramedian osteotomy between the canine and the first premolar was used in 4 cases, whereas a combination of a horizontal osteotomy above the lingula and a para-median osteotomy between the canine and first premolar was employed in 8 cases. A lingual dental splint and rigid fixation were used to achieve mandibular stabilization and fixation. Conclusion. We found that the single and double mandibular osteotomies provided excellent surgical access allowing for total tumor removal with few sequelae.

Original languageEnglish (US)
Pages (from-to)102-110
Number of pages9
JournalHead and Neck
Volume31
Issue number1
DOIs
StatePublished - Jan 2009

Fingerprint

Mandibular Osteotomy
Osteotomy
Bicuspid
Canidae
Neoplasms
Splints
San Francisco
Tongue
Tooth

Keywords

  • Mandibular osteotomy
  • Mandibulotomy
  • Parapharyngeal space
  • Rigid fixation
  • Tumor access

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Mandibular osteotomies for access to select parapharyngeal space neoplasms. / Kolokythas, Antonia; Eisele, David W.; El-Sayed, Ivan; Schmidt, Brian.

In: Head and Neck, Vol. 31, No. 1, 01.2009, p. 102-110.

Research output: Contribution to journalArticle

Kolokythas, Antonia ; Eisele, David W. ; El-Sayed, Ivan ; Schmidt, Brian. / Mandibular osteotomies for access to select parapharyngeal space neoplasms. In: Head and Neck. 2009 ; Vol. 31, No. 1. pp. 102-110.
@article{7e77aef2478f4e4ca6857c6ce95739de,
title = "Mandibular osteotomies for access to select parapharyngeal space neoplasms",
abstract = "Background. Tumors involving the parapharyngeal space present a challenge of surgical access. Methods. We reviewed all parapharyngeal space tumors resected at the University of California, San Francisco, between 2003 and 2006 and identified 14 patients who had a mandibular osteotomy to enhance surgical access to the parapharyngeal space. Results. The surgical approach for the 14 patients who had a mandibulotomy was accomplished via either 1 or 2 mandibular osteotomies. A single paramedian osteotomy between the canine and the first premolar was used in 4 cases, whereas a combination of a horizontal osteotomy above the lingula and a para-median osteotomy between the canine and first premolar was employed in 8 cases. A lingual dental splint and rigid fixation were used to achieve mandibular stabilization and fixation. Conclusion. We found that the single and double mandibular osteotomies provided excellent surgical access allowing for total tumor removal with few sequelae.",
keywords = "Mandibular osteotomy, Mandibulotomy, Parapharyngeal space, Rigid fixation, Tumor access",
author = "Antonia Kolokythas and Eisele, {David W.} and Ivan El-Sayed and Brian Schmidt",
year = "2009",
month = "1",
doi = "10.1002/hed.20934",
language = "English (US)",
volume = "31",
pages = "102--110",
journal = "Head and Neck",
issn = "1043-3074",
publisher = "John Wiley and Sons Inc.",
number = "1",

}

TY - JOUR

T1 - Mandibular osteotomies for access to select parapharyngeal space neoplasms

AU - Kolokythas, Antonia

AU - Eisele, David W.

AU - El-Sayed, Ivan

AU - Schmidt, Brian

PY - 2009/1

Y1 - 2009/1

N2 - Background. Tumors involving the parapharyngeal space present a challenge of surgical access. Methods. We reviewed all parapharyngeal space tumors resected at the University of California, San Francisco, between 2003 and 2006 and identified 14 patients who had a mandibular osteotomy to enhance surgical access to the parapharyngeal space. Results. The surgical approach for the 14 patients who had a mandibulotomy was accomplished via either 1 or 2 mandibular osteotomies. A single paramedian osteotomy between the canine and the first premolar was used in 4 cases, whereas a combination of a horizontal osteotomy above the lingula and a para-median osteotomy between the canine and first premolar was employed in 8 cases. A lingual dental splint and rigid fixation were used to achieve mandibular stabilization and fixation. Conclusion. We found that the single and double mandibular osteotomies provided excellent surgical access allowing for total tumor removal with few sequelae.

AB - Background. Tumors involving the parapharyngeal space present a challenge of surgical access. Methods. We reviewed all parapharyngeal space tumors resected at the University of California, San Francisco, between 2003 and 2006 and identified 14 patients who had a mandibular osteotomy to enhance surgical access to the parapharyngeal space. Results. The surgical approach for the 14 patients who had a mandibulotomy was accomplished via either 1 or 2 mandibular osteotomies. A single paramedian osteotomy between the canine and the first premolar was used in 4 cases, whereas a combination of a horizontal osteotomy above the lingula and a para-median osteotomy between the canine and first premolar was employed in 8 cases. A lingual dental splint and rigid fixation were used to achieve mandibular stabilization and fixation. Conclusion. We found that the single and double mandibular osteotomies provided excellent surgical access allowing for total tumor removal with few sequelae.

KW - Mandibular osteotomy

KW - Mandibulotomy

KW - Parapharyngeal space

KW - Rigid fixation

KW - Tumor access

UR - http://www.scopus.com/inward/record.url?scp=58149508459&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=58149508459&partnerID=8YFLogxK

U2 - 10.1002/hed.20934

DO - 10.1002/hed.20934

M3 - Article

C2 - 18853448

AN - SCOPUS:58149508459

VL - 31

SP - 102

EP - 110

JO - Head and Neck

JF - Head and Neck

SN - 1043-3074

IS - 1

ER -