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Transmandibular exposure of the skull base
Authors:Y P Krespi  G A Sisson
Affiliation:Chicago, Illinois, USA
Abstract:The combined transmandibular-transcervical approach to the skull base ensures a wide field exposure to the lateral and midline compartments of the middle cranial fossa with attendant vascular control. Splitting the lip and mandible in the midline and dividing the floor of the mouth structures along the lateral border of the tongue exposes the parapharyngeal space, infratemporal fossa (lateral compartment), and clivus, nasopharynx, and cervical spine (midline compartment). A variety of benign and malignant intracranial and extracranial skull base lesions have been treated using this approach.
Keywords:Requests for reprints should be addressed to Yosef P. Krespi   MD   Department of Otolaryngology-Head and Neck Surgery   Northwestern University Medical School   303 East Chicago Avenue   Chicago   Illinois 60611.
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