What is an infrastructure maxillectomy?
Infrastructure maxillectomy is a surgical procedure to remove the lower part of the maxilla and hard palate.
How do you perform a maxillectomy?
Your surgeon will need to cut through your upper jaw (maxilla) to remove the tumour. The operation involves removing of some of the bone in your maxilla, part of the roof of your mouth, and possibly some of your teeth. This will allow your surgeon to remove the tumour and a margin of healthy tissue around it.
What type of instruments are used in maxillectomy?
A standard endoscopic sinus surgery set-up is used for an endoscopic medial maxillectomy. Reciprocating, sagittal, and oscillating saw blades facilitate the osteotomies, but those over the anterior and lateral walls of the maxilla are best performed with Kerrison rongeurs.
What is Weber Ferguson approach?
The Weber Ferguson approach is indicated for access for tumors involving the maxilla extending superiorly to the infraorbital nerve and into or involving the orbit. It provides a wide access to all areas of the maxilla and orbital floor.
How long does a maxillectomy last?
Please remember that this leaflet is only a general guide and we will give you information specific to your particular needs. The average length of stay in hospital for a maxillectomy is usually five to seven days.
What is endoscopic medial maxillectomy?
Endoscopic medial maxillectomy (EMM) is a radical procedure that involves removal of the uncinate process, the bulla, the inferior turbinate, the middle turbinate, and the medial wall of the maxilla (including the nasolacrimal duct) to provide access to the maxillary sinus.
What is a medial maxillectomy?
What is an en bloc resection?
“En bloc resection” was defined as tumor excision covered in whole by a continuous shell of healthy tissue. Decompressive laminectomy (DL) and debulking were considered IL surgical procedures, whereas open biopsy was not.
What is lateral Rhinotomy?
The lateral rhinotomy is a technique which affords excellent exposure of the nasal cavity and lateral nasal wall and creates minimal cosmetic or functional disability.
What is a total Rhinectomy?
A rhinectomy is the surgical removal of a nose. If only part of the nose is removed it is called a partial rhinectomy, while entire nose removal is called a total rhinectomy. Often, a nose prosthesis is required for rehabilitation.
What is a maxilla?
The maxilla is the bone that forms your upper jaw. The right and left halves of the maxilla are irregularly shaped bones that fuse together in the middle of the skull, below the nose, in an area known as the intermaxillary suture. The maxilla is a major bone of the face.
What is the CPT code for endoscopic medial Maxillectomy?
31299
Question: What is the appropriate CPT code to report an endoscopic medial maxillectomy? Answer: It would be appropriate to report code 31299, Unlisted procedure, accessory sinuses, for an endoscopic medial maxillectomy because no other existing code describes the service listed.
What do you need to know about a total maxillectomy?
Total Maxillectomy In a Total Maxillectomy, the hard palate, orbital floor, and the entire maxilla on one side of the face (highlighted in purple) are removed. Sometimes the orbit will also need to be removed depending on the extent of tumor invasion.
Is the orbital floor removed in a suprastructure maxillectomy?
In a Suprastructure Maxillectomy, the orbital floor and the upper part of the maxilla (highlighted in purple) are removed, but the hard palate is kept intact. The orbit may or may not be removed. This type of surgery will require reconstruction to create a new orbital floor so that the eye does not sink down into the cheek.
What kind of scissors are used for maxillectomy?
Right-angled scissors are used to make final cut vertically from posterior floor to posterior tip of superior turbinate and postethmoid cells. This cut is typically between palatine bone and pterygoid process of sphenoid bone. Scissors are introduced through nasal cavity and lateral blade passed through inferior bone cut.
What kind of screws are used for maxillectomy?
The KLS 2.0 mm titanium screws (usually x2) are used to secure the prosthesis to the palatal bone. Place obturator intraorally. Identify optimal site for screw hole (s).