Maxillary Swing Approach for Removal of Palatal Carcinoma: A Modified Procedure
Introduction. We report a modification of the maxillary swing approach to remove a palatal tumor while preserving the anterior alveolar area. Methods. Case report using clinical records. Results. The patient was a 54-year-old male. TNM grade was T4bN0M0, and invasion to the base of the pterygoid pro...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2018/5318207 |
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| author | Tsutomu Nomura Megumi Kishimoto Hirohisa Iwaki Atsushi Ochi Seiji Kishimoto |
| author_facet | Tsutomu Nomura Megumi Kishimoto Hirohisa Iwaki Atsushi Ochi Seiji Kishimoto |
| author_sort | Tsutomu Nomura |
| collection | DOAJ |
| description | Introduction. We report a modification of the maxillary swing approach to remove a palatal tumor while preserving the anterior alveolar area. Methods. Case report using clinical records. Results. The patient was a 54-year-old male. TNM grade was T4bN0M0, and invasion to the base of the pterygoid process was seen. Two courses of induction chemotherapy were administered prior to the operation. Because there was no evidence of anterior maxillary invasion, the maxillary swing approach was chosen. The left anterior maxilla was cut and swung laterally, preserving the blood supply. After removal of the palatal tumor, the maxilla was repositioned and the defect was restored with an anterior lateral thigh flap. Postoperative course was typical, and facial appearance, speech, and masticatory function were satisfactory. Conclusions. This technique is particularly useful for preserving appearance as well as speech and mastication. |
| format | Article |
| id | doaj-art-003e933ed28a489ebf5a843bada81fd7 |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-003e933ed28a489ebf5a843bada81fd72025-02-03T05:46:14ZengWileyCase Reports in Otolaryngology2090-67652090-67732018-01-01201810.1155/2018/53182075318207Maxillary Swing Approach for Removal of Palatal Carcinoma: A Modified ProcedureTsutomu Nomura0Megumi Kishimoto1Hirohisa Iwaki2Atsushi Ochi3Seiji Kishimoto4Department of Otorhinolaryngology, Saitama Medical Center, Saitama, JapanDepartment of Otorhinolaryngology, Kameda Medical Center, Kamogawa, JapanDepartment of Otorhinolaryngology, Kameda Medical Center, Kamogawa, JapanDepartment of Otorhinolaryngology, Kameda Medical Center, Kamogawa, JapanDepartment of Head and Neck Surgery, Kameda Medical Center, Kamogawa, JapanIntroduction. We report a modification of the maxillary swing approach to remove a palatal tumor while preserving the anterior alveolar area. Methods. Case report using clinical records. Results. The patient was a 54-year-old male. TNM grade was T4bN0M0, and invasion to the base of the pterygoid process was seen. Two courses of induction chemotherapy were administered prior to the operation. Because there was no evidence of anterior maxillary invasion, the maxillary swing approach was chosen. The left anterior maxilla was cut and swung laterally, preserving the blood supply. After removal of the palatal tumor, the maxilla was repositioned and the defect was restored with an anterior lateral thigh flap. Postoperative course was typical, and facial appearance, speech, and masticatory function were satisfactory. Conclusions. This technique is particularly useful for preserving appearance as well as speech and mastication.http://dx.doi.org/10.1155/2018/5318207 |
| spellingShingle | Tsutomu Nomura Megumi Kishimoto Hirohisa Iwaki Atsushi Ochi Seiji Kishimoto Maxillary Swing Approach for Removal of Palatal Carcinoma: A Modified Procedure Case Reports in Otolaryngology |
| title | Maxillary Swing Approach for Removal of Palatal Carcinoma: A Modified Procedure |
| title_full | Maxillary Swing Approach for Removal of Palatal Carcinoma: A Modified Procedure |
| title_fullStr | Maxillary Swing Approach for Removal of Palatal Carcinoma: A Modified Procedure |
| title_full_unstemmed | Maxillary Swing Approach for Removal of Palatal Carcinoma: A Modified Procedure |
| title_short | Maxillary Swing Approach for Removal of Palatal Carcinoma: A Modified Procedure |
| title_sort | maxillary swing approach for removal of palatal carcinoma a modified procedure |
| url | http://dx.doi.org/10.1155/2018/5318207 |
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