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Access to the Skull Base - Maxillary Swing Procedure - Long Term Analysis.

Gurudayal Singh Kalra1, Manojit Midya1, Mitesh Bedi1

  • 1Department of Burns, Plastic and Reconstructive Surgery, SMS Medical College, Jaipur, Rajasthan, India.

Annals of Maxillofacial Surgery
|July 3, 2018
PubMed
Summary

The maxillary swing approach offers excellent surgical exposure for skull base tumors, enabling effective tumor removal with minimal patient complications. This technique ensures no recurrence and good functional outcomes.

Keywords:
Maxillary swingskull base tumortransfacial approach

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Area of Science:

  • Neurosurgery
  • Surgical Oncology
  • Plastic Surgery

Background:

  • Skull base surgery presents anatomical challenges.
  • Various surgical approaches exist, including endoscopic, microscopic, and open methods.
  • The maxillary swing approach enhances surgical exposure for oncological clearance.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of the maxillary swing procedure for skull base pathologies.

Main Methods:

  • A retrospective analysis of 62 patients who underwent the maxillary swing procedure.
  • Operations were performed between 2001 and 2016 in a single plastic surgery institution.
  • Patients had varied etiologies involving the skull base region.

Main Results:

  • No tumor recurrence was observed during the follow-up period.
  • Minor complications included one palatal fistula and one case of mild nasal mucosal atrophy.
  • No postoperative malocclusion occurred, with a minimum follow-up of 24 months.

Conclusions:

  • The maxillary swing procedure provides superior exposure for skull base tumors.
  • Effective tumor excision with minimal patient morbidity is achievable.
  • This approach is suitable for a majority of skull base tumors.