Le-fort I Access Osteotomy to Nasopharyngeal Tumor - A Case-report

Jump To References Section

Authors

  • Department of Oral and Maxillofacial Surgery, AJ Institute of Dental Sciences, Mangalore 575004 ,IN
  • Department of Oral and Maxillofacial Surgery, AB Shetty Memorial Institute of Dental Sciences, Deralakatte, Mangalore 575018 ,IN
  • The Face Clinic, Bendorewell, Mangalore ,IN
  • Department of Oral and Maxillofacial Surgery, AB Shetty Memorial Institute of Dental Sciences, Deralakatte, Mangalore 575018 ,IN

Keywords:

Nasopharyngeal Angiofibroma, Lefort-1I Access Osteotomy, Tumour
Maxillofacial Oral, Pathology

Abstract

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.

Published

2018-11-09

How to Cite

Pai, K. D., Mohan, M., Bhat, K. K., & Gopinathan, T. A. (2018). Le-fort I Access Osteotomy to Nasopharyngeal Tumor - A Case-report. Journal of Pierre Fauchard Academy (India Section), 27(4), 109–112. Retrieved from https://informaticsjournals.co.in/index.php/jpfa/article/view/22676

Issue

Section

Case Report

 

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.