Endoscopic transnasal approaches to pterygopalatine fossa tumors

Background The pterygopalatine fossa (PPF) is a difficult area to access, as it has been traditionally treated by external approaches. The development of endoscopic transnasal approaches enables surgeons to reach this region through a minimally invasive route, reducing the associated morbidity. Meth...

Full description

Saved in:
Bibliographic Details
Published inHead & neck Vol. 38; no. S1; pp. E214 - E220
Main Authors Battaglia, Paolo, Turri-Zanoni, Mario, Lepera, Davide, Sica, Eleonora, Karligkiotis, Apostolos, Dallan, Iacopo, Castelnuovo, Paolo
Format Journal Article
LanguageEnglish
Published United States Blackwell Publishing Ltd 01.04.2016
Subjects
Adolescent
Adult
Aged
endoscopic endonasal
Endoscopy
Female
Humans
Male
Middle Aged
Nasal Cavity - surgery
Neoplasm Recurrence, Local
pterygopalatine fossa
Pterygopalatine Fossa - pathology
Pterygopalatine Fossa - surgery
Retrospective Studies
sinonasal tumors
skull base
Skull Neoplasms - surgery
sphenopalatine artery
Young Adult
sphenopalatine artery
pterygopalatine fossa
skull base
endoscopic endonasal
sinonasal tumors
Online AccessGet full text

Cover

More Information
Summary:Background The pterygopalatine fossa (PPF) is a difficult area to access, as it has been traditionally treated by external approaches. The development of endoscopic transnasal approaches enables surgeons to reach this region through a minimally invasive route, reducing the associated morbidity. Methods We conducted a retrospective review of patients with benign and malignant tumors arising in or extending to the PPF, treated from 2000 to 2013 at a single institute, using endoscopic transnasal transmaxillary approaches. Results Thirty‐seven consecutive patients with benign (27 cases) and malignant (10 cases) tumors were treated with curative intent. Radical resection was achieved in 36 of 37 patients. No major complications were observed. No local recurrences were observed, with a median follow‐up of 38.5 months for malignancies and 60 months for benign tumors. Conclusion The endoscopic transnasal approaches are safe and feasible techniques for the radical resection of selected tumors involving the PPF and should be tailored according to the biology and extension of the lesion. © 2015 Wiley Periodicals, Inc. Head Neck 38: E214–E220, 2016
Bibliography:istex:5DE49DB46F3D8655D066DF0FF6F0B7F51D259AC3
ark:/67375/WNG-P6PL2BS9-2
ArticleID:HED23972
This work was presented at the International Federation of Head and Neck Oncologic Societies 2014 5th World Congress and American Head and Neck Society Annual Meeting, New York, NY, July 26–30, 2014; abstract #57060.
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:1043-3074
1097-0347
DOI:10.1002/hed.23972