Skull Base 2008; 18(6): 363-370
DOI: 10.1055/s-0028-1087218

© Thieme Medical Publishers

The Palatal Overlap Flap: A Modification of the Maxillary Swing Procedure to Prevent Ascending Infection

Ian T. Jackson1 , Daniel R. Pieper1
  • 1Craniofacial Institute, affiliated with Providence Hospital, Southfield, Michigan
Further Information

Publication History

Publication Date:
07 October 2008 (online)


The maxillary swing procedure provides an excellent approach to the anterior skull base region and to the clivus. The osteotomy should not be standard; it should vary with the size and position of the central skull base tumor being resected. The main reason for publishing this article is to draw attention to a method of preventing ascending infection from the oral cavity to the intracranial area using the palatal overlap flap. Examples of this approach are provided.


Ian T JacksonM.D. 

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