Abstract
Removal of tumours from the parapharyngeal space is often difficult because of limited surgical access. Mandibulotomy has proved useful for improving access but may cause damage to the inferior dental and lingual nerves. Use of the inverted 'L' osteotomy provides excellent access avoiding damage to the nerves and the technique is illustrated with three surgical cases.
MeSH terms
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Adenoma, Pleomorphic / surgery
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Aged
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Aged, 80 and over
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Bone Plates
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Carotid Artery Diseases / surgery
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Carotid Artery, Internal / pathology
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Head and Neck Neoplasms / surgery*
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Humans
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Internal Fixators
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Male
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Mandible / surgery*
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Masseter Muscle / surgery
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Middle Aged
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Nasopharyngeal Neoplasms / surgery
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Osteotomy / instrumentation
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Osteotomy / methods*
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Paraganglioma / surgery
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Parotid Neoplasms / surgery
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Pharyngeal Neoplasms / surgery*
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Pharynx / anatomy & histology