Endoscopic Endonasal Surgery for a Pterygopalatine Fossa Hydatid Cyst

Autor: Niko Njirić, Hrvoje Barić, Vjerislav Peterković, Mirjana Balen-Topić, Klaudija Višković, Relja Beck, Marcel Marjanović Kavanagh
Rok vydání: 2021
Předmět:
Zdroj: J Maxillofac Oral Surg
ISSN: 0974-942X
0972-8279
DOI: 10.1007/s12663-021-01545-w
Popis: Background Cystic echinococcosis is a manifestation of a zoonosis caused by larvae of the tapeworm Echinococcus granulosus sensu lato and pterygopalatine fossa cases are extremely rare. Clinical Presentation and Findings A 45- year-old Cau- casian female with a history of repeated surgeries for HC was referred to our center for treatment of a cystic mass of the pterygopalatine fossa. Multiorgan dissemination was noted on preoperative imaging. Interventions An endonasal endoscopic procedure was carried over under general anesthesia and the CE com- pletely removed. Etiology was confirmed by molecular diagnostics. Three weeks after the skull base procedure, the patient underwent a combined abdominal/urological pro- cedure for treatment of other cysts. Conclusion This case shows that the pterygopalatine fossa HC are amenable to surgical treatment using the endonasal endoscopic approach. Extensive preoperative workup is essential to assess the extent of the disease.
Databáze: OpenAIRE