A NEW INCISION FOR MAXILLARY CANCER-EXTENTED LATERAL RHINOTOMY+HEMICORONAL FLAP-

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  • 上顎癌に対する皮切の工夫―extended lateral rhinotomy+hemicoronal flap法によるアプローチ―
  • —EXTENTED LATERAL RHINOTOMY + HEMICORONAL FLAP—
  • ―extended lateral rhinotomy + hemicoronal flap法によるアプローチ―

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Description

A new approach to maxillary cancer using the extended lateral rhinotomy and hemicoronal flap is described. In comparison with the classic Weber-Fergusson incision, the new approach has several advantages: 1) avoids lower eyelid complications and fistula formation, 2) allows to approach the infratemporal fossa, permitting safe resection, especially visualization of the base of the pterygoid process and 3) allows easy use of the flap for reconstruction of the orbital floor, such as temporoparietal flap with or without calvarial bone. Our experience with this approach has been very satisfactory. This approach combined with a versatile approach to the mid-facial skeleton and hemifacial dismasking flap, provides good exposure and good cosmetic outcome without undue technical difficulty.

Journal

  • Toukeibu Gan

    Toukeibu Gan 32 (4), 423-428, 2006

    Japan Society for Head and Neck Cancer

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