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Update on approaches to the craniomaxillofacial skeleton

Villwock, Jennifer A.; Suryadevara, Amar C.

Current Opinion in Otolaryngology & Head and Neck Surgery: August 2014 - Volume 22 - Issue 4 - p 326–331
doi: 10.1097/MOO.0000000000000072
MAXILLOFACIAL SURGERY: Edited by Sherard A. Tatum

Purpose of review A myriad of surgical approaches to the craniomaxillofacial skeleton exist. Depending on the purpose of the procedure and the anatomic area to be addressed, classically used approaches include coronal approach, midfacial degloving, eyelid incisions, and other cutaneous incisions. Over the last decade, endoscopic approaches have become more popular. Whether external, transoral, or endoscopic, a detailed knowledge of the indications, anatomy, limitations, and potential complications is critical to the successful employment of these approaches. This article reviews the recent literature on classic as well as novel advancements to the craniofacial skeleton.

Recent findings Multiple studies in the last 5 years have investigated the approaches to the craniofacial skeleton. Most of these focus on trauma. Recent advances have concentrated on external versus endoscopic approaches to the mandibular condyle, an endoscopic approach to the midface and orbit, three-dimensional imaging of the facial skeleton, and improving upon the existing classic approaches and techniques.

Summary Approaches to the craniomaxillofacial skeleton continue to evolve with the refinement of classic approaches and advent of new technologies and approaches. This study reviews the recent literature and provides a comprehensive review of options for craniofacial exposure and the most up-to-date surgical options.

Department of Otolaryngology, SUNY-Upstate Medical University, Syracuse, New York, USA

Correspondence to Amar C. Suryadevara, MD, SUNY-Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA. Tel: +1 315 464 4636; fax: +1 315 464 7282; e-mail:

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins