title: Modified partial maxillary swing approach for myxofibrosarcoma in pterygopalatine fossa.
abstract: Extirpation of tumors arising in the pterygopalatine fossa is challenging because of its anatomic complexity.
  
  
  
  A 67-year-old man was referred to our department with a diagnosis of a tumor in his left pterygoid fossa. An incisional biopsy through the canine fossa was diagnosed as myxofibrosarcoma. The upper part of the maxilla was swung laterally to remove the tumor while the hard plate was preserved. The defect was reconstructed using rectus abdominis musculocutaneous free and ipsilateral temporal. The postoperative course was uneventful, without facial palsy or mastication disorders.
  
  
  
  Our experience with this case suggests that the modified partial maxillary swing approach with preservation of the hard palate and orbital floor in combination with infratemporal and cervical approaches is useful for lesions in the pterygoid process without causing severe complications. © 2016 Wiley Periodicals, Inc. Head Neck 38: E2519-E2522, 2016.
authors: Department of Otolaryngology - Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors: Hikari
authors: H
authors: Shimoda
authors: Department of Otolaryngology - Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors: Koichiro
authors: K
authors: Yonezawa
authors: Department of Otolaryngology - Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors: Hirotaka
authors: H
authors: Shinomiya
authors: Department of Otolaryngology - Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors: Naoki
authors: N
authors: Otsuki
authors: Department of Plastic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors: Kazunobu
authors: K
authors: Hashikawa
authors: Department of Radiation Oncology, Kobe University Graduate School of Medicine, Kobe, Japan.
authors: Ryohei
authors: R
authors: Sasaki
authors: Department of Neurosurgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors: Eiji
authors: E
authors: Komura
authors: Department of Otolaryngology - Head and Neck Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors: Ken-Ichi
authors: KI
authors: Nibu
mesh_terms: D000368:Aged; D001707:Biopsy, Needle; D005500:Follow-Up Studies; D006258:Head and Neck Neoplasms / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D021621:Imaging, Three-Dimensional; D007150:Immunohistochemistry; D008297:Male; D008437:Maxilla / Q000601:surgery; D009236:Myxosarcoma / Q000473:pathology* / Q000601:surgery*; D009361:Neoplasm Invasiveness / Q000473:pathology; D009367:Neoplasm Staging; D056739:Pterygopalatine Fossa / Q000000981:diagnostic imaging / Q000473:pathology*; D035583:Rare Diseases; D019651:Plastic Surgery Procedures / Q000379:methods; D013524:Surgical Flaps / Q000637:transplantation*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
keywords: hard palate; modified partial maxillary swing approach; myxofibrosarcoma; pterygopalatine fossa