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Horizontal maxillotomy for exposure of the central skull base: the Yale experience
C T Sasaki1, R A Lowlicht, R Tokashiki
1Yale University School of Medicine, Section of Otolaryngology, New Haven, CT 06520-8041, USA. Clarence.Sasaki@yale.edu
Abstract:
Le Fort I osteotomy allows the surgeon to safely down-fracture the maxilla for wide exposure of the central skull base. This surgical approach is easily extended inferiorly to include the arch of C1, providing 8 cm of horizontal anterior exposure and 5 cm of posterior. Wide operative exposure and a low rate of complications afford superior functional and cosmetic preservation in removing tumors of the central cranial base.
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