Versatility of Dieffenbach’s Modification of Weber Fergusson’s Approach for Treatment of Maxillary Pathologies

Abstract

Objective: The aim of the study is to evaluate the usage of Dieffenbach’s modification of Weber–Fergusons approach in the treatment of lesions involving maxilla. Study: In this study five different maxillary pathologies were approached through Dieffenbach’s modification of Weber–Fergusons approach. Partial and subtotal procedures were performed depending on the type of pathology and the extent of the lesion which was assessed both clinically and radiologically. The study evaluates the easy exposure of the site, post operative complications like scar formation and infra orbital nerve parasthesia. Results: There were two subtotal maxillectomy procedures and three partial maxillectomy procedures approached through Dieffenbach’s modification of Weber–Fergusson’s approach. All the cases recovered well in the post operative healing period without noticeable scarring. There was parasthesia in three cases which subsided in 3 months. Conclusion: The approach through Dieffenbach’s modification of Weber–Fergusons incision gave better visibility and accessibility to the lesions of maxilla. Because there is direct access to the pathology, the inadvertent resection of the un-involved structures is prevented thus minimizing the morbidity.