medial maxillectomy

medial maxillectomy

A radical procedure used to excise benign and low-grade malignancies of the medial aspect of the maxilla, the lateral nasal wall, ethmoid sinuses and lacrimal sac, in which the maxilla is removed with the tumour.
 
Approach
Lateral rhinotomy incision or midfacial degloving. The medial maxillectomy has been replaced by endoscopic sinus surgery where possible, but the lateral rhinotomy approach is still useful given the wide field it provides. It is also of value when combined with a craniofacial approach for aggressive neoplasms of the skull base.