Use of the Smith's Spreader as a Self-Retaining Retractor in the Direct Approach to Clival Tumours - A Technical Note

Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):1476-1477. doi: 10.1007/s12070-023-04292-1. Epub 2023 Oct 24.

Abstract

The traditional Le Fort level 1 osteotomy has proven to be an effective in approaching central skull base lesions. The challenge being - stabilization of the down-fractured maxilla in an amenable position for tumour resection. The authors describe a simple technique to overcome the task of stabilizing the down-fractured maxilla.

Keywords: Downfracture; Le Fort Osteotomy; Smith’s Spreader.