Page 31 - Head and neck surgery
P. 31

During surgery, the maxilla, which is

                      attached to the anterior cheek skin, is


                      swung laterally as a complete unit, in order

                      to expose the tumour in the nasopharynx.

                      Upon the completion of surgery, the maxilla

                      is returned to its original position and fixed


                      with titanium mini plates and screws.






                      This approach provides a wide access,


                      allowing            resection            of        advanced



                      tumours that involve the parapharyngeal


                      space and skull base.





                                                                                                        Wei WI, Lam KH, Sham JS. New approach to the
                                                                                                        nasopharynx: the maxillary swing approach. Head Neck

                                                                                                        1991; 13(3): 200 – 7.
   26   27   28   29   30   31   32   33   34   35   36