REVIEW   

Otorinolaringologia 2019 September;69(3):179-84

DOI: 10.23736/S0392-6621.19.02221-5

Copyright © 2019 EDIZIONI MINERVA MEDICA

lingua: Inglese

The removal of midface tumors by Le Fort I approach

Matteo BRUCOLI ¹ ✉, Paolo BOFFANO ¹, Nicola BARAGIOTTA ¹, Matteo NICOLOTTI ², Andrea PEZZANA ¹, Arnaldo BENECH ¹

¹ Division of Maxillofacial Surgery, “Maggiore della Carità” University Hospital, University of Eastern Piedmont, Novara, Italy; ² Division of Maxillofacial Surgery, Alessandria Hospital, Alessandria, Italy

INTRODUCTION: The aim of this article was to review the literature about the use of Le Fort I approach for the removal of paranasal sinuses or nasopharyngeal tumors and to present two cases of midface tumors treated by such approach.
EVIDENCE ACQUISITION: A systematic review of all papers regarding the removal of paranasal sinuses or nasopharyngeal tumors by Le Fort I approach was performed. Data were collected on year, number of patients, histological types of tumor, and complications of the included patients.
EVIDENCE SYNTHESIS: Fourteen articles were included, regarding a total of 60 patients that have undergone a LeFort I approach for the removal of a midface tumor. The most frequent tumor was nasopharyngeal angiofibroma (54 patients). Complications were rarely reported.
CONCLUSIONS: The Le Fort I approach seems to be an excellent option for the removal of selected midface neoplasms. Tumor recurrence is rare, as well as complications following such approach.

KEY WORDS: Osteotomy, Le Fort; Neoplasms; Surgery