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[Transoral approaches to the skull base. An attempt of systematization]
1Ospedale Maggiore, Clinica ORL, Parma, Italie.
Revue De Laryngologie - Otologie - Rhinologie
|January 1, 1993
Abstract:
This is a technical note concerning the classifications of the various operations possible via the buccal route towards the base of the skull and the first vertebrae. A part from the Hardy vestibulo-septal approach, mention must be made of the buccal and transpalatine approach, the direct buccal approach, the buccal approach widened downwards by transmandibular osteotomy, and finally the transmandibular and transcervical approach. These different technique enable the ablation of extradural and even intradural lesions at the level of the clivus, but are limited on the side by the pterygoid process and the large vessels.