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Transfacial access to the retromaxillary area.

F Hernández Altemir

Journal of Maxillofacial Surgery

|June 1, 1986

Summary

This case study presents a novel surgical technique for large angiofibromas. Temporary maxilla disarticulation allowed access to difficult areas, avoiding extensive mutilation.

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Area of Science:

Surgical Oncology
Head and Neck Surgery
Otolaryngology

Background:

Angiofibromas, particularly large ones, pose significant surgical challenges due to their location.
Conventional surgical approaches often result in substantial facial disfigurement and morbidity.

Observation:

A large angiofibroma presented in multiple, difficult-to-access anatomical regions.
Standard surgical methods would have necessitated extensive tissue removal and reconstruction.

Findings:

A transfacial surgical approach involving temporary disarticulation of the maxilla, still attached to the cheek, was employed.
This technique provided direct access to the retromaxillary and other challenging areas.

Implications:

This innovative technique offers a less mutilating alternative for managing extensive angiofibromas.
The described surgical method may improve functional and aesthetic outcomes in complex head and neck tumor resections.

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