Chapter

Transmandibular Approaches

12/2009; DOI:10.1007/978-88-470-1167-0_24 pp.319-329

ABSTRACT Lesions involving the middle cranial base, its underlying volumes, and the first cervical vertebrae can be adequately managed
surgically by means of a series of different approaches. These have the following basic prerequisites: to supply adequate
surgical light, to identify and preserve the neurovascular structures adjacent to the lesion, to restore an adequate barrier
between the neurocranium and the upper aerodigestive tracts, and to preserve both the functionality and the appearance of
the patient.

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Keywords

adequate barrier
 
first cervical vertebrae
 
following basic prerequisites
 
middle cranial base
 
neurovascular structures adjacent
 
surgically
 
underlying volumes
 
upper aerodigestive tracts
 

Valentino Valentini