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Official Journal of the Italian Society of Maxillofacial Surgery


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Rivista Italiana di Chirurgia Maxillo-Facciale 2003 April;14(1):31-5

language: English

Surgical treatment of expansive naso-ethmoidal lesions by a transoral approach. Surgical technique and evaluation of 2 patients

Bucci T. 1, Longo F. 2, Piombino P. 1, Califano L. 1

1 Department of Oral ­and Maxillofacial Surgery University “Federico II”, Naples, Italy
2 Department of Head ­and Neck Surgery, National Cancer Institute “G. Pascale”, Naples, Italy


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This arti­cle dis­cuss­es ­the ­use of a trans­oral ­approach by Le Fort I oste­ot­o­my ­with pal­a­tal split­ting to ­access ­the ­naso-eth­moid­al com­plex. We ­report 2 cas­es of expan­sive ­lesions of ­the ­mid-­face (juve­nile ossi­fy­ing fibro­ma ­and cer­vic­o­fa­cial actin­o­my­co­sis) in ­which ­this ­approach ­has ­been ­used. This ­approach is ­more suit­able ­than ­the tran­seth­moid­al ­approach in ­the treat­ment of expan­sive ­lesions involv­ing ­the ­mid-­face. It is a rel­a­tive­ly sim­ple tech­nique ­with ­low mor­bil­ity ­and mor­bid­ity ­for ­the ­patient ­and it pro­vides a ­good oper­a­tive work­ing ­area. The ­authors ­report ­the sur­gi­cal tech­nique, a ­brief his­to­ry, direc­tions ­how to ­use Le Fort I oste­ot­o­my ­and ­its effec­tive­ness in ­the treat­ment of expan­sive ­lesions of ­the ­mid-­face.

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