BACKGROUND: A number of procedures have been described that facilitate access to the parapharyngeal space. Their use may be limited because of restricted access or postoperative morbidity. METHODS: We describe the use of two mandibular osteotomies to greatly enhance the exposure of the parapharyngeal space, with possible access up to the skull base. RESULTS: We have performed this procedure in three cases with minimal postoperative morbidity and no neurologic deficit or occlusal disturbances. CONCLUSIONS: We have found that the osteotomies described provide far better exposure to this area than a single mandibular osteotomy alone. Furthermore, it avoids a facial scar.
BACKGROUND: A number of procedures have been described that facilitate access to the parapharyngeal space. Their use may be limited because of restricted access or postoperative morbidity. METHODS: We describe the use of two mandibular osteotomies to greatly enhance the exposure of the parapharyngeal space, with possible access up to the skull base. RESULTS: We have performed this procedure in three cases with minimal postoperative morbidity and no neurologic deficit or occlusal disturbances. CONCLUSIONS: We have found that the osteotomies described provide far better exposure to this area than a single mandibular osteotomy alone. Furthermore, it avoids a facial scar.