Le Fort I Down-Fracture for Management of Midface Tumors
- PMID: 32649545
- DOI: 10.1097/SCS.0000000000006705
Le Fort I Down-Fracture for Management of Midface Tumors
Abstract
Objective: To perform an integrative review associating current literature with a clinical series regarding the use of Le Fort I osteotomy for the removal of tumors located in the midface and central region of the skull base.
Methods: A systematic review was performed through the PubMed, SCOPUS, and Cochrane databases. In addition, 4 different patients operated using the above-cited technique are described in this study.
Results: Initially, 123 articles were found. After the removal of duplicates, and title and abstract reading, 27 articles were selected for data extraction. The Le Fort I surgical approach of tumors was performed in 183 patients.
Conclusion: The Le Fort I surgical approach allows lesion exeresis with good visualization, low rates of recurrences and complications, and without aesthetic compromises for the patient.
References
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- Albuquerque MAP, Carvalho DDC, Grandez D, et al. Nasopharyngeal angiofibroma. surgical approach using a transoral Le Fort I osteotomy following embolization: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 107:180184.
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- Avelar RL, de Santana Santos T, Antunes AA, et al. Horizontal maxillary osteotomy approach for resection of juvenile nasopharyngeal angiofibroma. J Craniofac Surg 2011; 22:10271030.
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- Bijlenga P, Dulguerov P, Richter M, et al. Nasopharynx paraganglioma with extension in the clivus. Acta Neurochir (Wien) 2004; 146:13551359.
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- Colreavy MP, Sigston E, Lacy PD, et al. Post-nasal space oncocytoma: a different approach to a rare tumour. J Laryngol Otol 2001; 15:5759.
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- De Mello-De FV, Araujo FC, Marques Netto PB, et al. Resection of a juvenile nasoangiofibroma by Le Fort I osteotomy: experience with 40 cases. J Craniomaxillofac Surg 2015; 43:15011504.
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