Transmandibular approach to total maxillectomy

Total Maxillectomy through transfacial approach has been practiced in the treatment of Cancer for more than a decade. Its role in T(3) - T(4) tumors extending posteriorly through gthe bony wall is questionable, since an oncological radical procedure is often not possible. Recurrences in the infratemporal fossa are common. Despite the addition of radiotherapy five year survivals have not significantly improved. Transmandibular approach to Total Maxillectomy overcomes this shortcoming by including the pterygopalatine fossa enbloc with the maxilla. Early experience is presented.