Dávila TRF, Villareal RJM

Language: Spanish
References: 9
Page: 279-284
PDF size: 445.53 Kb.

ABSTRACT

Background: Diseases in deep spaces of the skull, such as tumors, sometimes require therapeutic interventions: chemotherapies, radiotherapies, surgical resection or a combination of these. The surgical removal of these diseases limits access, due to the protective structures of hard and soft tissues and the risk of injury to vascular, nervous structures or nearby organs.
Clinical case: A 15-year-old female patient who reported facial sensory alterations, diplopia, persistent headaches, as well as discharge of secretions from the left ear. Imaging studies showed a tumor lesion at the base of the skull. This paper describes the intraoral surgical approach for tumor resection in the skull base, as well as the use of maxillary orthosis to preserve occlusion and final osteosynthesis.
Conclusions: Large-scale tumor lesions located in deep spaces require a difficult surgical procedure and a more aggressive approach for resection.

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