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Osteoplastic Anterior Transoral Approach for Tumors of the Middle Cranial Fossa

Nicolás, Solano DDS*; Ejusmar, Rivera DDS*; Lozano, Alfonso DDS*; Lobo, Cesar MD

doi: 10.1097/SCS.0000000000005683
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Surgical access to tumors involving the midline skull base remains a considerable challenge for surgeons. Various surgical approaches for treating these tumors like transnasal, transantral, and endoscopic approaches sometimes have anatomical limitations. This paper describes a transoral approach with a Lefort I osteotomy that allows a great visualization, not only to the center of the skull base but also the infratemporal fossa. This technique may be used for the surgical resection of extracranial and intracranial benign tumors, and non-neoplastic intradural pathology, which does not require dural resection. The authors will review proper patient selection, surgical exposure, operative procedure, and complications.

*Deparment of Craniofacial Surgery, Coromoto's Hospital, Oral Surgery Post-graduated Program, School of Dentistry, Zulia's University

Deparment of Craniofacial Surgery, Coromoto's Hospital, Oral Surgery Post-Graduate Program, School of Dentistry, Zulia's University, Deparment of Craniofacial Surgery, Coromoto's Hospital, Maracaibo, Venezuela.

Address correspondence and reprint requests to Rivera Ejusmar, DDS, Encirclement # 1, the Hills Park, Maracaibo, Zulia State, Venezuela; E-mail: ejusmar12@gmail.com

Received 24 February, 2019

Accepted 24 April, 2019

The authors report no conflicts of interest.

Supplemental digital contents are available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jcraniofacialsurgery.com).

© 2019 by Mutaz B. Habal, MD.