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Published on: August 15, 2025
Maxillectomy through mandibulotomy--a retrospective clinical review
Sanjiv Nair1, K R Sridhar, Anjan Shah
1Department of Maxillofacial Surgery, Bangalore Institute of Dental Sciences, Bangalore, India. snmaxfax@gmail.com
Summary
Mandibulotomy provides excellent access for maxilla and infratemporal fossa tumors, offering wide exposure and good cosmetic outcomes with minimal morbidity. This approach is a viable alternative to traditional methods.
Area of Science:
- Oncology
- Surgical Oncology
- Head and Neck Surgery
Background:
- Tumors of the maxilla and infratemporal fossa present surgical challenges.
- Conventional surgical approaches may involve significant morbidity and cosmetic compromise.
Purpose of the Study:
- To retrospectively evaluate the benefits of mandibulotomy as an access technique for resecting tumors involving the maxilla and infratemporal fossa.
- To compare mandibulotomy with conventional surgical approaches.
Main Methods:
- Retrospective review of 24 consecutive patients undergoing maxillectomy via mandibular access osteotomy.
- Evaluation of patient data, postoperative follow-up, complications (neural morbidity), and cosmetic outcomes.
Main Results:
- En bloc resection with negative margins was achieved in most patients.
- Satisfactory osteotomy site healing occurred in 21 patients; 3 required intervention.
- Temporary neural morbidity and excellent cosmetic results were observed.
Conclusions:
- Mandibular access osteotomy is an effective and acceptable approach for maxilla and infratemporal fossa tumors.
- Advantages include wide exposure, minimal morbidity, and superior cosmesis compared to panfacial approaches.