The intranasal endoscopic removal of schwannoma of the pterygopalatine and infratemporal fossae via the prelacrimal recess approach
| Autor: | Shunjiu Cui, Bing Zhou, Ting Ye, Xiaohong Chen, Ping-Hung Shen, Zhen-kun Yu, Qian Huang, Yunchuan Li, Chengshuo Wang |
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| Rok vydání: | 2015 |
| Předmět: |
Nasal cavity
Adult Male medicine.medical_specialty Pterygopalatine Fossa Schwannoma Resection 03 medical and health sciences 0302 clinical medicine Postoperative Complications medicine Facial numbness Humans 030223 otorhinolaryngology Pterygopalatine fossa Facial Nerve Injuries Maxillary Neoplasms medicine.diagnostic_test business.industry Infratemporal fossa Endoscopy General Medicine Middle Aged medicine.disease Surgery medicine.anatomical_structure Treatment Outcome Female Nasal Cavity business 030217 neurology & neurosurgery Neurilemmoma Follow-Up Studies |
| Zdroj: | Journal of neurosurgery. 124(4) |
| ISSN: | 1933-0693 |
| Popis: | OBJECT This study was undertaken to analyze the results of a novel surgical method—the endoscopic prelacrimal recess approach (PLRA)—in patients with tumors involving the pterygopalatine fossa (PPF) and infratemporal fossa (ITF). The surgical technique and indications for this approach are also discussed. METHODS The authors analyzed data from 7 cases involving patients who underwent resection of PPF and ITF tumors by means of the endoscopic PLRA from 2004 to 2013. Preoperative and postoperative imaging studies were available in all cases and were reviewed. The surgical specimens were all confirmed to be schwannomas. RESULTS All tumors were completely resected via endoscopic PLRA. There were no recurrences noted over a 28-month follow-up period. In 4 cases, the patients experienced postoperative facial numbness during the first two weeks after surgery, which gradually lessened thereafter. One patient continued to have mild facial numbness at most recent follow-up. The numbness had fully resolved in the other 3 cases. CONCLUSIONS The intranasal endoscopic removal of schwannoma from PPF and ITF via PLRA can spare the whole lateral nasal wall, resulting in a reduction in morbidity. This is a novel minimally invasive surgical method for PPF and ITF tumors. |
| Databáze: | OpenAIRE |
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