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Related Experiment Video

Updated: May 29, 2025

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas

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Piezo-Assisted Transmaxillary Approach for Microscope-Enabled Debulking of Infratemporal Schwannoma.

Adarsh Kudva1, R Girish Menon2, S Arun1

  • 1Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, 576104 Karnataka India.

Journal of Maxillofacial and Oral Surgery
|February 4, 2025
PubMed
Summary

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An EEG-based hybrid machine learning approach for CT scan triage in mild traumatic brain injury.

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Awareness of oral health, hygiene practices, and chemotherapy-related oral manifestations among parents of pediatric oncology patients.

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Adipokines in oral squamous cell carcinoma-a narrative overview.

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Evaluation and Comparison of Enhanced Recovery After Surgery (ERAS)-Based Protocol with Traditional Surgical Recovery Protocols for Routine Maxillofacial Procedures Implemented in a Tertiary Care Centre.

Journal of maxillofacial and oral surgery·2026

This study highlights a novel surgical approach for retromaxillary lesions. A piezo-assisted transmaxillary technique combined with microscopy offers improved outcomes for managing tumors like schwannoma.

Area of Science:

  • Neurosurgery
  • Ophthalmology
  • Oncology

Background:

  • Retromaxillary lesions present diagnostic and treatment challenges due to their anatomical location.
  • Traditional surgical methods for these lesions are associated with significant morbidity.
  • Minimally invasive techniques, such as those utilizing the Peizotome and microscope, are emerging as valuable alternatives.

Purpose of the Study:

  • To present a case of a retromaxillary infratemporal tumor.
  • To evaluate the efficacy of a piezo-assisted transantral approach for microscope-enabled tumor debulking.
  • To demonstrate improved patient outcomes with advanced surgical techniques.

Main Methods:

  • A 65-year-old male patient with a 10-day history of right eye pain and blurred vision was evaluated.
Keywords:
Caldwell-LucInfratemporal SchwannomaMicroscopePeizosurgeryTransmaxillary

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  • Clinical and radiological assessments identified a slow-growing retromaxillary infratemporal tumor.
  • Surgical intervention involved a piezo-assisted transantral approach with microscope-assisted tumor debulking.

    • Main Results:

    • Histopathological examination confirmed the diagnosis of schwannoma.
    • The patient experienced a favorable postoperative recovery.
    • The combined approach facilitated efficient tumor management with reduced complications.

    Conclusions:

    • The Peizotome-assisted transmaxillary approach, coupled with microscopic excision, represents an effective strategy for retromaxillary lesions.
    • This technique offers a surgical advancement for managing challenging tumors, leading to better patient outcomes.
    • Minimally invasive techniques enhance surgical precision and promote faster recovery in retromaxillary tumor treatment.