In routine surgical practice, anterior approaches are not often used to treat upper cervical pathologies. Such lesions can be difficult to access surgically. This article describes 2 cases in which the transmandibular approach was used to address anterior upper cervical pathology. One case was a chordoma invading the C2-C3 vertebrae and the other case was atlanto-axial instability. Neurological...

Anterior exposure for cervical chordomas remains challenging because of the anatomical complexities and the restoration of the dimensional balance of the atlanto-axial region. In this report, we describe and analyze the transmandibular transoral approach and multilevel spinal reconstruction for upper cervical chordomas. We report two cases of cervical chordomas (C2 and C2-C4) that were treated ...

The aim of this study was to review patients with tumours extending to the posterior portion of the upper gingiva and hard palate, and to evaluate the postoperative outcomes. Ten consecutive patients with tumours in the upper gingiva and hard palate, who underwent maxillectomy with internal dissection of the masticator space by the transmandibular approach, were reviewed retrospectively. Among ...

The infratemporal fossa is a deep quadrangular space located at the inferior aspect of the middle cranial fossa. Numerous surgical approaches have been described to gain access to benign and malignant pathology of this anatomical area. The transzygomatic transmandibular approach provides excellent wide exposure of the infratemporal space, for resection of tumours afflicting this region.

The Pierre Robin sequence was first described by Pierre Robin in 1923 as a triad of micrognathia, U-shaped cleft palate, and glossoptosis. Although the problems associated with Pierre Robin sequence may be numerous, the most acute problem in affected newborns is upper airway obstruction. The causes of upper airway obstruction are heterogeneous, and treatment is controversial and may include a l...

This study compared the experiences with surgical procedures and treatment effects of a mainly implant-supported overdenture retained by a transmandibular implant with those of an implant tissue-supported overdenture retained by two cylindrical endosseous implants. Treatment had been assigned according to a balanced allocation method to 95 patients, including a control group who received only c...