Piezosurgery-Assisted Endoscopic Transpterygoid Approach for Maxillary Ameloblastoma

The use of piezoelectric instrumentation has been investigated to perform an endoscopic-assisted transpterygoid maxillectomy for a maxillary ameloblastoma. This technology allowed safe disinsertion of the pterygoid root from the cranial base through a precise and clean osteotomy, while minimizing the risk of inadvertent soft-tissue injury. Piezoelectric saws can represent an alternative to high-speed endoscopic drills in selected cases. For posterior maxillary neoplasms, we recommend the employment of endoscopic-assisted maxillectomy, as it offers improved anatomical exposure and a more accurate control of tumor margins.