title: Modifications of the midline mandibulotomy for access to the parapharyngeal space.
abstract: When considering a mandibular osteotomy for access to resect a parapharyngeal neoplasm, the following goals should be considered: preservation of the facial nerve, complete removal of the neoplasm without tumor rupture, maintenance of the preoperative teeth occlusion, acceptable temporomandibular joint function, functional preservation of the inferior alveolar nerve sensation, and satisfying aesthetic results. We propose a modified median osteotomy technique, which combines the advantages of sufficient exposition of the tumor with very good functional and aesthetic results. A case series of nine patients suffering from extended pleomorphic adenomas of the inner lobe of the parotid gland is presented.
authors.affiliation: ENT Department, Klinikum Ernst von Bergmann Potsdam, Potsdam, Germany. mjungehuelsing@klinikumevb.de
authors.forename: Markus
authors.initials: M
authors.lastname: Jungehuelsing
authors.forename: Orlando
authors.initials: O
authors.lastname: Guntinas-Lichius
authors.forename: Jens Peter
authors.initials: JP
authors.lastname: Klussmann
authors.forename: Hans Edmund
authors.initials: HE
authors.lastname: Eckel
authors.forename: Eberhard
authors.initials: E
authors.lastname: Stennert
mesh_terms: D008949:Adenoma, Pleomorphic / Q000601:surgery*; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D008875:Middle Aged; D010027:Osteotomy; D010307:Parotid Neoplasms / Q000601:surgery*; D010614:Pharynx / Q000601:surgery