Simultaneous resection and reconstruction of parts of the mandible via the intraoral route in patients with and without gross infections.
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Biomedical subjects
Publications and source records attributed to H L Obwegeser.
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Large benign tumors and cysts of the mandible cause such massive bulging in the soft tissue of the cheek that one is tempted to try to find an external approach to the tumor. In our experience an oral approach has proven to be sufficient and advantageous in most cases of benign mandibular tumors even when they were very large. This is demonstrated in an unusual case of lipoblastoma of the ascending mandibular ramus. It is the first endosteal case of this rare tumor in the literature.
Anatomical and surgical details of the author's temporal approach to the temporomandibular joint (TMJ), the orbit, and the retromaxillary-infratemporal space are described using drawings and photographs taken during surgery. The approach is advocated because it gives any desirable access to the operating fields without leaving a visible scar in the face and because it preserves the condyle and, thereby, the integrity of the TMJ.
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