An extraoral parapharyngeal space approach via vertical ramus osteotomy

Abstract 

Background

Numerous approaches to access the parapharyngeal space have been described, each with associated morbidities.

Surgical technique

We describe the use of vertical ramus osteotomy to increase exposure of the parapharyngeal space.

Results

We have been using this approach over the past 5 years and have found it to be the preferred approach to the parapharyngeal space.

Conclusion

This approach provides excellent exposure with low risk to the facial nerve while allowing for adequate tumor resection. It also avoids facial scarring and oral contamination of the cervical wound.