Endoscopic Total Maxillectomy Without Facial Skin Incision

Area of Science:

• Otorhinolaryngology
• Head and Neck Surgery
• Surgical Oncology

Background:

• Maxillectomy is a surgical procedure to remove the maxilla, often for cancer treatment.
• Traditional maxillectomy techniques can result in significant facial disfigurement and require extensive reconstruction.
• Minimally invasive approaches are sought to improve patient outcomes and reduce morbidity.

Purpose of the Study:

• To report on a novel endoscopic-assisted total maxillectomy technique.
• To evaluate the feasibility of achieving en bloc resection without facial skin incisions.
• To present the initial outcomes of this pioneering surgical approach.

Main Methods:

• The study details a technique utilizing endoscopic instruments for total maxillectomy.
• En bloc resection of the maxilla was performed.
• The procedure was designed to avoid any external facial skin incisions.

Main Results:

• Successful en bloc resection of the total maxilla was achieved in all cases.
• The endoscopic-assisted approach allowed for complete tumor removal.
• No facial skin incisions were required, preserving facial aesthetics.

Conclusions:

• Endoscopic-assisted total maxillectomy is a viable and effective technique.
• This method enables oncologically sound resection while minimizing cosmetic impact.
• It represents a significant advancement in the surgical management of maxilla pathologies.