Research Article
Dikarev A, Porhanov V, Kocherg
Abstract
Objective: By benign and malignant tumors of the maxillary sinus and maxilla there is frequently a need to perform a total maxillectomy. In this article we describe a transconjuctival-transoral approach, which can be evaluated in terms of esthetic result, complications, integrity of the important structures of the midface that provide physiological function and reduce the rehabilitation period. Study design: We operated seven patients in the time between 2013-2014. Among them were four patients with malignant tumors with preoperative radiology treatment one patient with malignant tumor without preoperative radiology treatment and two patients with benign tumors. All these patients have no recurrence until now. Methods: The surgical technique is performed in following steps: transconjunctival incision, exposure of the zygomatic bone, low orbital rim and orbital floor through precise dissection of the structures of the low eyelid, intraoral incision, traditional osteotomies with preserving the low orbital rim, lateral canthopexy, skin suturing. Results: Reduction of the postoperative treatment period and complications, better esthetic results. Conclusion: Transconjunctival-transoral approach benefits the conventional ones in fast rehabilitation, good esthetic results without facial scars and low eyelid malposition