Surgical Access to the Base of Skull and Upper Cervical Spine by Extended Maxillotomy

Author:

James David1,Crockard Alan H.2

Affiliation:

1. Department of Maxillofacial Surgery, University College Hospital, London, England

2. Department of Surgical Neurology, The National Hospitals for Neurology and Neurosurgery, London, England

Abstract

Abstract An extended maxillotomy has been developed to permit wider surgical access to the base of the skull. It has proven particularly useful in the management of the previously untreatable neuraxial compression caused by basilar invagination in cases of osteogenesis imperfecta. In addition, patients with extensive extradural space-occupying lesions have been treated. The surgical technique is described and the results of its use in nine patients are presented.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Neurology (clinical),Surgery

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