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Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
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Modified incision for maxillectomy: our experience.

Kranti Bhavana1, Isha Tyagi, Mukesh Kumar Ramani

  • 1Department of Neurotology, Sanjay Gandhi Post Graduate Institute of Medical Sciences (SGPGIMS), Rai Barailley Road, Lucknow, 226014 India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|June 5, 2013
PubMed
Summary
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This study presents a modified radical maxillectomy incision that avoids midface scarring and eye complications. The technique facilitates early wound healing, allowing for prompt radiotherapy initiation.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Surgical Oncology

Background:

  • Radical maxillectomy traditionally uses the Weber Ferguson incision.
  • This classical incision offers excellent exposure and minimal scarring along skin creases.
  • However, it can lead to midface scarring and potential complications.

Purpose of the Study:

  • To present a modified radical maxillectomy incision.
  • To avoid cosmetic deformity and eye complications associated with the traditional approach.
  • To prevent late complications like cutaneous fistula and enable early radiotherapy.

Main Methods:

  • A modified radical maxillectomy incision was developed.
  • The technique involves midface degloving combined with a subconjunctival eye incision.
  • This approach bypasses the need for a midface scar.
Keywords:
CosmesisMidface deglovingTotal maxillectomyWeber Ferguson

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Last Updated: May 10, 2026

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03:32

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Published on: December 27, 2024

Main Results:

  • The modified incision successfully avoids scarring on the midface.
  • It eliminates cosmetic deformities and associated eye complications.
  • Early wound healing was observed, facilitating timely radiotherapy.

Conclusions:

  • The modified radical maxillectomy incision offers significant cosmetic and functional advantages.
  • It reduces the risk of post-radiotherapy cutaneous fistulas.
  • This technique improves patient outcomes by enabling earlier adjuvant therapy.