Single, subcondylar mandibular osteotomy: a new access route for extensive, benign parapharyngeal neoplasms.
OBJECTIVE
We report a new approach to benign parapharyngeal space tumours: a single, subcondylar mandibular osteotomy.


METHODS
Case report and review of the world literature concerning parapharyngeal space access and the various types of mandibular osteotomy.


RESULTS
The use of a single, subcondylar mandibular osteotomy achieves good exposure and satisfactory aesthetic and functional results, using a simple, easily performed technique that is fast and has minimal morbidity. In addition, this technique preserves the submandibular gland and avoids lip-splitting and post-operative intermaxillary fixation.


CONCLUSIONS
To our knowledge, this is the first report of this approach to the parapharyngeal space. We propose this approach as the first choice for resection of benign neoplasms of the parapharyngeal space.
Bianchi
B
B
Maxillo-Facial Surgery Division, Head and Neck Department, University and Hospital of Parma, Italy.
Ferri
A
A
Ferrari
S
S
Copelli
C
C
Magri
A S
AS
Sesenna
E
E
D008949:Adenoma, Pleomorphic / Q000473:pathology / Q000601:surgery*; D000328:Adult; D001707:Biopsy, Needle; D005260:Female; D006801:Humans; D008334:Mandible / Q000601:surgery*; D008335:Mandibular Condyle; D010027:Osteotomy / Q000379:methods*; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D010610:Pharyngeal Neoplasms / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome