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: email@example.com
Received 24 February, 2019
Accepted 24 April, 2019
The authors report no conflicts of interest.
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