Management of infratemporal fossa lesions poses certain difficulties. The presentation of these cases is variable, their location is deep and they may be related to important neurovascular structures.
The aim of the present report is to present our experience in the management of extensive lesions involving the lateral skull base using a variety of infratemporal fossa approaches. The clinical picture, indications, technique, complications and outcome are discussed. This is a retrospective study in which all patients managed surgically for infratemporal fossa lesions at the ENT Department, Faculty of Medicine, Alexandria University and Hai Al Jamea Hospital, Jeddah, Saudi Arabia in a 2-year period were included. Nine patients were included, of whom four were recurrent juvenile nasopharyngeal angiofibromas, two nasopharyngeal carcinomas, one recurrent chondrosarcoma, one trigeminal neurinoma and one meningioma. The approaches used were the infratemporal fossa type C in two cases, the preauricular infratemporal fossa approach in six patients with [3 cases] or without [3 cases] orbitozygomatic osteotomy and a combined modified transcochlear and infratemporal fossa type B approach in the remaining case. Total removal could be accomplished in eight cases. No mortality was recorded The infratemporal fossa approaches provide a viable alternative for the management of difficult to treat lateral skull base lesions
Essam Saleh ,Mohamed Hassab ,Mohamed Badr Eldine ,
The infratemporal fossa approach for the management of difficult lateral skull base lesions,
Bull. Alex. Fac. Med. 2006;
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