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Órgano oficial de la Facultad de Odontología, UNAM

2005, Number 1

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Rev Odont Mex 2005; 9 (1)

Transmandibular glossotomy palate, approach for skull base: Report of a case

Rojas VR, Pacheco RL, Peña RE, Hernández S

Language: Spanish
References: 42
Page: 42-47
PDF size: 230.22 Kb.


ABSTRACT

Lesions of the clivus, upper cervical vertebrae, and the cervicomedullary junction often present difficulties to the neurologic surgeon. Currently available surgical approaches often provide less than optimal exposure, for both removal of the primary lesion and repair of the dura. A transoral approach that combines a median labiomandibular glossotomy, soft palate ‘split’ and hard palate resection has been used in one illustrative case. This technique not only provides maximum transverse and sagital exposure, but considerably reduces the operating distance between the neurosurgeon and the cervicomedullary junction.


REFERENCES

  1. Crockar HA. The transoral approach to the base of the brain and upper cervical cord. Am R Coll Surg Engl 1985; 67: 321-325.

  2. Fox JL. Obliteration of midline vertebral artery aneurysm via vasilar craniectomy. J Neurosurg 1967; 26: 406-412.

  3. Haselden FG, Brice JG. Transoral clivectomy (a case report). J Maxillofac Surg 1978; 6: 32-34.

  4. Hashi K, Hakuba A, Ikuno H et al. A midline vertebral artery aneurysm operated via transoral transclival approach. No Shinkei Geka (jpn) 1976; 4: 183-189.

  5. Hayakawa T, Kamikawa K, Ohnishi T et al. Prevention of postoperative complications after a transoral transclival approach to basilar aneurysm. J Neurosurg 1981; 54: 695-703.

  6. Hayakawa T, Kamikawa K, Ohnish T et al. Transoral transclival approach to aneurysms of the basilar artery-experience with three cases. Neuro Med Chir (jpn) 1981; 21: 477-484.

  7. Hitchocock E, Cowie R. Transoral-Transclival clipping of a midline vertebral artery aneurysm. J Neurol Neurosurg Psychiatry 1983; 46: 446-448.

  8. Kawase T, Toya S, Shiobara R et al. Transpetrosal approach for aneurysms of the lower basilar artery. J Neurosurg 1985; 63: 857-861.

  9. Lanigan DT, West RA. Management of postoperative hemorrhage following the Le-Fort I maxillary osteotomy. JJ Oral Maxillofac Surg 1984; 42: 367-375.

  10. Moloney F, Worthington P. The origin of the Le-Fort I maxillary osteotomy: cheevers operation. Oral Surg 1981; 39: 731-734.

  11. Peerless SJ, Drake CG. Management of aneurysms of posterior circulation. In: Touman JR. Neurological Surgery. ed 2. Philadelphia: WB Saunders, 1982; 2: 1715-1763.

  12. Pitelli SD, Almeida GGM, Nakagawa EJ et al. Basilar aneurysm surgery: the subtemporal approach wit section of the zygomatic arch. Neurosurgery 1986; 18: 125-128.

  13. Sano K, Jinbo M, Saito I. Vertebra basilar aneurysm with special reference to the transpharyngeal approach to the basilar aneurysm. No to Shinkei (jpn) 1966; 18: 1197-1203.

  14. Sasaki CT, McCabe BF, Kirchner JA (eds). Surgery of the Skull Base. Philadelphia: JB Lippincott, 1984.

  15. Stringer DE, Dolwick MF, Steed DL. Subcutaneous emphysema after Le-Fort I osteotomy: report of two cases. J Oral Surg 1979; 37: 115-116.

  16. Wassmund W. Lehrbuch der Praktischen Chirurgie des Mundes und der Kiefer. Liepzig: Hermann Meusser, 1935: 1.

  17. Watts PG. Unilateral abducens ner nerve palsy: a rate complication following a Le Fort I maxillary osteotomy. Br J Oral Maxillofac Sur 1984; 22: 212-215.

  18. Wissinger JP, Doff D, Wisiol ES et al. of aneurysm of the basilar artery by a transclival approach. J Neurosurg 1967; 26: 417-419.

  19. Yamaura A, Makino H, Isobe K et al. Repair of cerebrospinal fluid fistula following transoral transclival approach to a basilar aneurysm. J Neurosurg 1979; 50: 834-836.

  20. Yasargil MG. Microsurgery Applied to Neurosurgery. Stuttgart: George Thieme Verlag 1969: 132-139.

  21. Aubaker AOC. Sotereanos: Modified Le-Fort I (maxillary zigomatic) osteotomy: Rationale, basis, and surgical technique. J Oral Maxillofac Surg 1991; 41: 1089-1097.

  22. Crockar HA. The transoral approach to the base of the brain and upper cervical cord. Am R Coll Surg Engl 1985; 67: 321-325.

  23. Fox JL. Obliteration of midline vertebral artery aneurysm via vasilar craniectomy. J Neurosurg 1967; 26: 406-412.

  24. Haselden FG, Brice JG. Transoral clivectomy (a case report). J Maxillofac Surg 1978; 6: 32-34.

  25. Hashi K, Hakuba A, Ikuno H et al. A midline vertebral artery aneurysm operated via transoral transclival approach. No Shinkei Geka (jpn) 1976; 4: 183-189.

  26. Hayakawa T, Kamikawa K, Ohnishi T et al. Prevention of postoperative complications after a transoral transclival approach to basilar aneurysm. J Neurosurg 1981; 54: 695-703.

  27. Hayakawa T, Kamikawa K, Ohnish T et al. Transoral transclival approach to aneurysms of the basilar artery-experience with three cases. Neuro Med Chir (jpn) 1981; 21: 477-484.

  28. Hitchocock E, Cowie R. Transoral-Transclival clipping of a midline vertebral artery aneurysm. J Neurol Neurosurg Psychiatry 1983; 46: 446-448.

  29. Kawase T, Toya S, Shiobara R et al. Transpetrosal approach for aneurysms of the lower basilar artery. J Neurosurg 1985; 63: 857-861.

  30. Lanigan DT, West RA. Management of postoperative hemorrhage following the Le-Fort I maxillary osteotomy. JJ Oral Maxillofac Surg 1984; 42: 367-375.

  31. Moloney F, Worthington P. The origin of the Le-Fort I maxillary osteotomy: cheevers operation. Oral Surg 1981; 39: 731-734.

  32. Peerless SJ, Drake CG. Management of aneurysms of posterior circulation. In: Touman JR. Neurological Surgery. ed 2. Philadelphia: WB Saunders, 1982; 2: 1715-1763.

  33. Pitelli SD, Almeida GGM, Nakagawa EJ et al. Basilar aneurysm surgery: the subtemporal approach wit section of the zygomatic arch. Neurosurgery 1986; 18: 125-128.

  34. Sano K, Jinbo M, Saito I. Vertebra basilar aneurysm with special reference to the transpharyngeal approach to the basilar aneurysm. No to Shinkei (jpn) 1966; 18: 1197-1203.

  35. Sasaki CT, McCabe BF, Kirchner JA (eds). Surgery of the Skull Base. Philadelphia: JB Lippincott, 1984.

  36. Stringer DE, Dolwick MF, Steed DL. Subcutaneous emphysema after Le-Fort I osteotomy: report of two cases. J Oral Surg 1979; 37: 115-116.

  37. Wassmund W. Lehrbuch der Praktischen Chirurgie des Mundes und der Kiefer. Liepzig: Hermann Meusser, 1935: 1.

  38. Watts PG. Unilateral abducens ner nerve palsy: a rate complication following a Le Fort I maxillary osteotomy. Br J Oral Maxillofac Sur 1984; 22: 212-215.

  39. Wissinger JP, Doff D, Wisiol ES et al. of aneurysm of the basilar artery by a transclival approach. J Neurosurg 1967; 26: 417-419.

  40. Yamaura A, Makino H, Isobe K et al. Repair of cerebrospinal fluid fistula following transoral transclival approach to a basilar aneurysm. J Neurosurg 1979; 50: 834-836.

  41. Yasargil MG. Microsurgery Applied to Neurosurgery. Stuttgart: George Thieme Verlag 1969: 132-139.

  42. Aubaker AOC. Sotereanos: Modified Le-Fort I (maxillary zigomatic) osteotomy: Rationale, basis, and surgical technique. J Oral Maxillofac Surg 1991; 41: 1089-1097.




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