The incidence of oropharyngeal squamous cell carcinoma (OPSCC) has markedly increased over the last three decades mostly due to human papillomavirus (HPV)-related infections. Cancers resulting from HPV infection bear a better prognosis than those that are smoking-related. Because HPV-positive patients are often younger, with lower rates of co-morbid illness and longer overall life expectancies,...

OBJECTIVES/HYPOTHESIS To revisit the surgical technique of lateral pharyngotomy in patients with selected, isolated, and untreated invasive squamous cell carcinoma of the lateral oropharynx. To describe postoperative management, complications, and functional outcomes. STUDY DESIGN Retrospective review from a French university teaching hospital. METHODS Ninety-one patients consecutively unde...

Surgical accesses for the facial skeleton are based on the concept of modular osteotomies. Various techniques and combination of osteotomies facilitate access to the most inaccessible tumors of craniomaxillofacial region. Most appropriate surgical access is determined by considering size, location, extension of the tumor, and experience of the surgical team. These are primarily used for tumors ...

Although foramen magnum meningiomas are usually removable, their location poses considerable surgical risk. The authors present three cases of foramen magnum meningioma. The first involved a ventral type tumor extending to the second cervical body. Following bilateral mandibulotomy, surgery was performed via the anterior transoral approach and the tumor was totally removed. Nine days postoperat...

The approach to the surgical treatment of lateral oral cavity and oro-pharyngeal cancer has undergone many changes over the years, passing from a demolitive approach involving segmental resectioning of the mandible to a conservative approach with temporary mandibulotomy. The complications resulting from these two different approaches invited further review of the various indications related to ...

BACKGROUND Interruption of mandibular continuity in transmandibular (mandibulotomy and mandibulectomy) surgery for tumour resection in the oral cavity and oropharynx may alter oral and temporomandibular joint (TMJ) morphology and function. OBJECTIVE To critically analyze available evidence regarding the effects of transmandibular surgeries on morphologic and functional changes in the TMJ and ...

We have recently encountered 6 cases of tumor that developed in the parapharyngeal space (2 cases of neurinoma, a case of angioneurinoma, pleomorphic adenoma, mucoepidermoid tumor and acinic cell tumor). This paper reports these cases and discusses the problems on diagnosis and treatment. As for the surgical approaches, the oral method and external cervical incision with or without median mandi...

INTRODUCTION Basilar invagination and basilar impression both refer to the displacement of the odontoid process into the foramen magnum, although the former is congenital and the latter is due to secondary etiology. Many etiologies for basilar impression exist, including trauma, Paget’s disease of the bone, osteogenesis imperfecta, rickets, and rheumatoid pannus. To our knowledge there have bee...

Locally invasive benign tumor and large lesions such as ameloblastoma, giant cell granuloma, odontogenic keratocyst, and odontogenic myxoma are a benign, invasive, lesions of the jaws that predominantly affects the mandible. Despite the benign nature of these lesions, there is a high rate of local recurrence after curettage, which usually requires resection. The traditional surgical approach fo...