OSTEOTOMY LE FORT I AS AN ACCESS TO NASOANGIOFIBROMA JUVENILE TREATMENT

Horizontal maxillary osteotomy, or Le Fort I type osteotomy, allows wide access to midface structures and adjacent areas such as the pterygomaxillary, nasopharynx, and base of the skull. Described and used initially as an access to treatment of tumors in the region, it became no longer used for this purpose, being more frequently used to correct facial deformities. Nasoangiofibroma is a rare vascular lesion of the nasopharyngeal region, which despite being benign, shows aggressive local behavior, with high rates of relapse and prevalence among young people. Tumors of the nasal cavity and skull base are treated by multidisciplinary teams. This case report shows the treatment of a 15-year-old male patient with juvenile nasoangiofibroma using a Le Fort I osteotomy. The patient underwent 2 surgical removals because of recurrence of the tumor in a period of 1 year, without any sequelae.