Osteotomy at the Le Fort I level. A versatile procedure.

Tumours of the nasopharynx, cervical spine and base of skull have been surgically excised using the Le Fort I maxillary osteotomy to gain access to them. Five cases that illustrate the versatility of the approach are presented. The Le Fort I osteotomy is recommended to oral and maxillofacial surgeons, ENT and neurosurgeons as a simple procedure to approach the described areas which leaves no external scars and gives good visualisation of the tumour to be removed.