Neurosurgery · 1991 · 160 citations · 0 references
MedicineMaxillofacial SurgeryNeurosurgeryCraniofacial SurgerySpine SurgerySurgical Anatomy Of The HeadSkull Base AnatomySkull Base ReconstructionSkull Base SurgerySkull Base ResectionSpace-occupying LesionsSurgical Access OptimizationSurgical Access PlanningSurgical Access RoutesUpper Cervical Spine Exposure
An extended maxillotomy has been developed to permit wider surgical access to the base of the skull. It has proven particularly useful in the management of the previously untreatable neuraxial compression caused by basilar invagination in cases of osteogenesis imperfecta. In addition, patients with extensive extradural space-occupying lesions have been treated. The surgical technique is described and the results of its use in nine patients are presented.