Maxillary Swing Approach for Removal of Palatal Carcinoma: A Modified Procedure. (5th April 2018)

• Record Type: Journal Article
• Authors: Nomura, Tsutomu; Kishimoto, Megumi; Iwaki, Hirohisa; Ochi, Atsushi; Kishimoto, Seiji
• Other Names: Baba Yuh Academic Editor.
• Is Part Of: Case reports in otolaryngology. Volume 2018(2018)
• Publication Date: 2018-04-05
• Subjects: Otolaryngology -- Periodicals; Otolaryngology -- Case studies -- Periodicals; Otolaryngology; Otorhinolaryngologic Diseases; Otolaryngology; Periodicals; Case studies; Periodicals; Case Reports; Fulltext; Internet Resources; Periodicals; 617.51
• DOI: 10.1155/2018/5318207
• Languages: English
• ISSNs: 2090-6765

Abstract

Abstract : Introduction . We report a modification of the maxillary swing approach to remove a palatal tumor while preserving the anterior alveolar area. Methods. Case report using clinical records. Results . The patient was a 54-year-old male. TNM grade was T4bN0M0, and invasion to the base of the pterygoid process was seen. Two courses of induction chemotherapy were administered prior to the operation. Because there was no evidence of anterior maxillary invasion, the maxillary swing approach was chosen. The left anterior maxilla was cut and swung laterally, preserving the blood supply. After removal of the palatal tumor, the maxilla was repositioned and the defect was restored with an anterior lateral thigh flap. Postoperative course was typical, and facial appearance, speech, and masticatory function were satisfactory. Conclusions . This technique is particularly useful for preserving appearance as well as speech and mastication.