Medial Maxillectomy
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2025-03-08
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Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery
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University of Cape Town
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Abstract
Medial maxillectomy refers to surgical resection of the medial and superomedial walls of the maxillary antrum. It is increasingly being done by transnasal endoscopic techniques for suitable cases and when the required expertise and technology are available. This chapter will only deal with the open surgical medial maxillectomy technique. Maxillectomy is potentially complicated by injuries to the orbital contents, lacrimal apparatus, optic nerve, ethmoidal arteries, intracranial contents, and may be accompanied by brisk bleeding. A sound understanding of the 3-dimensional anatomy of the maxilla and the surrounding structures is therefore essential. Hence the detailed description of the surgical anatomy that follows.
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Reference:
Fagan, J. 2025. Medial Maxillectomy. In Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery. J. Fagan, Ed.Cape Town, South Africa: University of Cape Town. 12. http://hdl.handle.net/11427/43517 .