Maxillary swing
by Rahul Ranjan Aiyer, Rahul Gupta Aiyer

Jaypee’s Video Atlas of Operative Otorhinolaryngology AND Head & Neck Surgery

by Vicky S Khattar, Bachi T Hathiram
About Video

This approach provides an excellent end-on access to the parapharyngeal space, pterygopalatine and infratemporal fossae, and is used to excise a variety of tumors, the most common being a juvenile nasopharyngeal angiofibroma. An extended Weber Ferguson incision is taken and subcutaneous soft tissue is elevated to a limited extent, only so far as to permit osteotomy cuts and plate-fixation later. The maxillary periosteum is preserved for the vitality of the bone. The maxilla is prefixed with plates which help to preserve preoperative occlusion. Preoperative nasolacrimal duct stenting, according to the author, helps to prevent inadvertent damage to the duct and subsequent problems.

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