Access to Pterygopalatine and Infratemporal Fossa Region by Newer Maxillary Suprastracture Swing Technique: A Report of Two Cases.

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Surgical access to pterygopalatine and infratemporal fossa has always been important for head and neck surgeons to deal with various benign and malignant tumours. Technical advancements leading to advent of microdebrider, coblation instruments and endoscopes, have proved helpful in gaining access to these complex anatomical areas, by way of endoscopic endonasal approaches but availability of instruments and learning curve remains a limiting factor. Thus older open surgical techniques like maxillary swing, Le Fort osteotomies and midfacial degloving still holds their importance in providing direct open access to these areas. We share our experience of the newer maxillary suprastracture swing technique in gaining direct open surgical access to these anatomical regions for two different cases i.e. neurofibroma located in infratemporal fossa and JNA involving both pterygopalatine and infratemporal fossa.