An extraoral parapharyngeal space approach via vertical ramus osteotomy.
BACKGROUND
Numerous approaches to access the parapharyngeal space have been described, each with associated morbidities.


METHODS
We describe the use of vertical ramus osteotomy to increase exposure of the parapharyngeal space.


RESULTS
We have been using this approach over the past 5 years and have found it to be the preferred approach to the parapharyngeal space.


CONCLUSIONS
This approach provides excellent exposure with low risk to the facial nerve while allowing for adequate tumor resection. It also avoids facial scarring and oral contamination of the cervical wound.
Zitsch
Robert P
RP
Department of Otolaryngology, University of Missouri, Columbia, MO 65202, USA.
Patenaude
Bart
B
Tidmore
Taylor
T
D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008334:Mandible / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D010614:Pharynx / Q000601:surgery*