翼口蓋窩に進展した硬口蓋腺様嚢胞癌の Crockett 法による手術経験

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We describe the use of Crockett's method for surgical excision of an adenoid cystic carcinoma of the hard palate, which extended to the pterygoid region, in a 64-year-old Japanese woman.<BR>Crockett's method includes dissection of the masseter and temporal muscles following osteotomy of the zygomatic arch and the coronoid process to facilitate access to the pterygoid region. After excision of the tumor, the coronoid process and zygomatic arch are replaced, which enables restoration of the facial contours.<BR>The postoperative course of this patient was uneventful, without esthetic or functional disturbances. Neither tumor recurrence nor metastasis has been observed over a 2-year followup period. This method allows direct and safe access to the pterygoid region, without esthetic or functional disorders resulting from surgery.
社団法人日本口腔外科学会の論文