Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
권호 표지

SURGICAL MANAGEMENT OF THE TUMOR IN THE PARAPHARYNGEAL SPACE AND INFRATEMPORAL FOSSA USING ZYGOMATIC ARCH AND MANDIBULAR OSTEOTOMY

하악골 및 관골궁 절단술을 이용한 측두하와와 인두주위간극에 발생한 종양적출술 1례

  • Lee, Bong-Seo (Dept, of Oral & Maxillofacial Surgery, College of Medicine, Keimyung University) ;
  • Nam, Jung-Soon (Dept, of Oral & Maxillofacial Surgery, College of Medicine, Keimyung University) ;
  • Koo, Myoung-Sook (Dept, of Oral & Maxillofacial Surgery, College of Medicine, Keimyung University) ;
  • Kim, Shin-Yu (Dept, of Oral & Maxillofacial Surgery, College of Medicine, Keimyung University) ;
  • Kwon, Dae-Hyun (Dept, of Oral & Maxillofacial Surgery, College of Medicine, Keimyung University) ;
  • Lee, Yong-Gyu (Dept, of Oral & Maxillofacial Surgery, College of Medicine, Keimyung University) ;
  • Kwon, Tae-Geon (Dept, of Oral & Maxillofacial Surgery, College of Medicine, Keimyung University) ;
  • Kim, Jong-Bae (Dept, of Oral & Maxillofacial Surgery, College of Medicine, Keimyung University)
  • 이봉서 (계명대학교 의과대학 치과 구강악안면외과) ;
  • 남정순 (계명대학교 의과대학 치과 구강악안면외과) ;
  • 구명숙 (계명대학교 의과대학 치과 구강악안면외과) ;
  • 김신유 (계명대학교 의과대학 치과 구강악안면외과) ;
  • 권대현 (계명대학교 의과대학 치과 구강악안면외과) ;
  • 이용규 (계명대학교 의과대학 치과 구강악안면외과) ;
  • 권대근 (계명대학교 의과대학 치과 구강악안면외과) ;
  • 김종배 (계명대학교 의과대학 치과 구강악안면외과)
  • Published : 2001.12.30
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Abstract

A new surgical approach to the area of the infratemporal fossa and parapharyngeal space is described. This approach results in a wide-field exposure of the infratemporal fossa, pterygomaxillary space and parapharyngeal space. We used two osteotomies on the patient's mandible and temporary resection of zygomatic arch for superior margin of tumor. Lower lip splitting was not needed because the incision was started in the frontal scalp, curved in front of and below the external auditary canal, and extended anteriorly to the greater horn of hyoid bone on the neck along a skin crease. We had good results without sacrifice of the facial nerve, mandibular function and sensory supply of the face and oral cavity.

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