Access To Anterior Skull Base Via Lefort I Approach

Author(s): Roshan Cherian Paramesh, Priyanka Govind Belgal and Anjaleena Elizabeth Mathew

Tumours of the anterior skull base require a multispecialty approach for adequate resection and reconstruction. Panoramic access to the anterior skull base is frequently required for massive tumours that traverse this region and invade the complex anatomy of the craniofacial compartment. The Le Fort I osteotomy with maxillary down-fracture is one of the well-explained trans-facial approaches to gain access to anterior skull base. This approach significantly improves visualization of the central skull base and also the infratemporal fossa when the posterior wall of maxillary sinus and the pterygoid plates are removed.