title: Horizontal maxillotomy for exposure of the central skull base: the Yale experience.
abstract: Le Fort I osteotomy allows the surgeon to safely down-fracture the maxilla for wide exposure of the central skull base. This surgical approach is easily extended inferiorly to include the arch of C1, providing 8 cm of horizontal anterior exposure and 5 cm of posterior. Wide operative exposure and a low rate of complications afford superior functional and cosmetic preservation in removing tumors of the central cranial base.
authors.affiliation: Yale University School of Medicine, Section of Otolaryngology, New Haven, CT 06520-8041, USA. Clarence.Sasaki@yale.edu
authors.forename: C T
authors.initials: CT
authors.lastname: Sasaki
authors.forename: R A
authors.initials: RA
authors.lastname: Lowlicht
authors.forename: R
authors.initials: R
authors.lastname: Tokashiki
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D019340:Osteotomy, Le Fort; D012086:Reoperation; D019291:Skull Base / Q000601:surgery*; D019292:Skull Base Neoplasms / Q000601:surgery*; D016896:Treatment Outcome