Le-fort I Access Osteotomy to Nasopharyngeal Tumor - A Case-report
Keywords:
Nasopharyngeal Angiofibroma, Lefort-1I Access Osteotomy, TumourAbstract
Removal of extensive central skull base and paranasal sinus tumors is a significant challenge that is often hampered by limited access and exposure. The safety and efficacy of the Le Fort I osteotomy approach to the skull base have been well established. The purpose of this article is to describe the use of Le fort-1I osteotomy as an access procedure to reach tumors in the nasopharyngeal region in a young patient. The large mass which he presented within the nasopharyngeal region, later diagnosed to be juvenile nasopharyngeal angiofibroma, posed a challenge for surgical access.Downloads
Published
How to Cite
Issue
Section
License
All the articles published in JPFA are distributed under a creative commons license. The journal allows the author(s) to hold the copyright of their work (all usages allowed except for commercial purpose).
References
Knudsen SJ, Bailey BJ. Midline nasal masses. In: Bailey BJ, Calhoun KH, Deskin RW, et al., eds. Head and Neck Surgery e Otolaryngology. 2nd ed. Philadelphia: Lippincott-Raven; 1996:406-407.
Gluckman JL. Tumors of nose and paranasal sinuses. In: Donald PJ, Gluckman JL, Price DH, eds. Sinuses. 1st ed. New York: Raven Press; 1995:428-430.
AM A, Myssiorek DJ, Schwartz M. Resection of a recurrent nasal tumor via Le fort-1 osteotomy approach. Am J Otol. 1995;16:418-421.
Neel HB, Fee VYM, et al. Benign and malignant tumors of the nasopharynx. In: Cummings CW, Fredrickson JM, Harker LA, eds. Otolaryngology Head and Neck Surgery. 3rd ed. St. Louis: Mosby; 1998:1512-1525.
Grime PD. Transfacial access for neurosurgical procedures: an extended role for maxillofacial surgeons. Int J Oral Maxillofac Surg. 1991;20:285-290.
Jones GC, De Sonto LW. Juvenile angiofibroma e behaviour and treatment of extensive and residual tumors. Arch Otolaryngol Head Neck Surg. 1986;112:1191-1193.
Mishra SC, Shukla GK, Bhatia N, Pant MC. Angiofibroma of the post nasal space: a critical appraisal of various therapeutic modalities. J Laryngol Otol. 1991;105:547-552.
Salins P. The trans naso-orbito-maxilary approach to the anterior and middle skull base. Int J Oral Maxillofac Surg. 1998;27:53-57.
Vaughan ED. The maxillofacial surgeon and the cranial base. Br J Oral Maxillofac Surg. 1998;34:4-17.
Drommer RB. The history of Le fort-1 osteotomy. J Maxillofac Surg. 1986;14:119-122.
Iannetti G, Belli E, De Ponte F, Cicconetti A, Delfini R. The surgical approaches to the nasopharyngeal angiofibroma. J Cranio Maxillofac Surg. 1994;22:311-316.
Lewark M, Allen GC, Choudhury K, Chan KH. Lefort-1 osteotomy and skull base tumors. Arch Otolaryngol Head Neck Surg. 2001;126:1004-1008.
Thurnfart WF, Platzer W, Gunkel AR, et al. Surgical approaches in otorhinolaryngology. 1999:206. Thime, Stuttgart e New York.
Turvey TA, Scharadt-Sacco D. Le fort-1 osteotomy. In: Fonseca RJ, Betts NJ, Turvey TA, eds. Oral and Maxillofacial Surgery. vol. 2. Philadelphia: Saunders Co; 2000:232.