Endoscopic endonasal approach for mass resection of the pterygopalatine fossa
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/140033 |
Resumo: | OBJECTIVES: Access to the pterygopalatine fossa is very difficult due to its complex anatomy. Therefore, an open approach is traditionally used, but morbidity is unavoidable. To overcome this problem, an endoscopic endonasal approach was developed as a minimally invasive procedure. The surgical aim of the present study was to evaluate the utility of the endoscopic endonasal approach for the management of both benign and malignant tumors of the pterygopalatine fossa. METHOD: We report our experience with the endoscopic endonasal approach for the management of both benign and malignant tumors and summarize recent recommendations. A total of 13 patients underwent surgery via the endoscopic endonasal approach for pterygopalatine fossa masses from 2014 to 2016. This case group consisted of 12 benign tumors (10 juvenile nasopharyngeal angiofibromas and two schwannomas) and one malignant tumor. RESULTS: No recurrent tumor developed during the follow-up period. One residual tumor (juvenile nasopharyngeal angiofibroma) that remained in the cavernous sinus was stable. There were no significant complications. Typical sequelae included hypesthesia of the maxillary nerve, trismus, and dry eye syndrome. CONCLUSION: The low frequency of complications together with the high efficacy of resection support the use of the endoscopic endonasal approach as a feasible, safe, and beneficial technique for the management of masses in the pterygopalatine fossa. |
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Clinics |
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Endoscopic endonasal approach for mass resection of the pterygopalatine fossaEndoscopic Endonasal ApproachPterygopalatine FossaSkull BaseTumorOBJECTIVES: Access to the pterygopalatine fossa is very difficult due to its complex anatomy. Therefore, an open approach is traditionally used, but morbidity is unavoidable. To overcome this problem, an endoscopic endonasal approach was developed as a minimally invasive procedure. The surgical aim of the present study was to evaluate the utility of the endoscopic endonasal approach for the management of both benign and malignant tumors of the pterygopalatine fossa. METHOD: We report our experience with the endoscopic endonasal approach for the management of both benign and malignant tumors and summarize recent recommendations. A total of 13 patients underwent surgery via the endoscopic endonasal approach for pterygopalatine fossa masses from 2014 to 2016. This case group consisted of 12 benign tumors (10 juvenile nasopharyngeal angiofibromas and two schwannomas) and one malignant tumor. RESULTS: No recurrent tumor developed during the follow-up period. One residual tumor (juvenile nasopharyngeal angiofibroma) that remained in the cavernous sinus was stable. There were no significant complications. Typical sequelae included hypesthesia of the maxillary nerve, trismus, and dry eye syndrome. CONCLUSION: The low frequency of complications together with the high efficacy of resection support the use of the endoscopic endonasal approach as a feasible, safe, and beneficial technique for the management of masses in the pterygopalatine fossa.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2017-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/14003310.6061/clinics/2017(09)06Clinics; Vol. 72 No. 9 (2017); 554-561Clinics; v. 72 n. 9 (2017); 554-561Clinics; Vol. 72 Núm. 9 (2017); 554-5611980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/140033/135233Copyright (c) 2017 Clinicsinfo:eu-repo/semantics/openAccessPlzák, JanKratochvil, VítKešner, AdamŠurda, PavolVlasák, AlešZvěřina, Eduard2017-10-25T11:34:41Zoai:revistas.usp.br:article/140033Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2017-10-25T11:34:41Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Endoscopic endonasal approach for mass resection of the pterygopalatine fossa |
title |
Endoscopic endonasal approach for mass resection of the pterygopalatine fossa |
spellingShingle |
Endoscopic endonasal approach for mass resection of the pterygopalatine fossa Plzák, Jan Endoscopic Endonasal Approach Pterygopalatine Fossa Skull Base Tumor |
title_short |
Endoscopic endonasal approach for mass resection of the pterygopalatine fossa |
title_full |
Endoscopic endonasal approach for mass resection of the pterygopalatine fossa |
title_fullStr |
Endoscopic endonasal approach for mass resection of the pterygopalatine fossa |
title_full_unstemmed |
Endoscopic endonasal approach for mass resection of the pterygopalatine fossa |
title_sort |
Endoscopic endonasal approach for mass resection of the pterygopalatine fossa |
author |
Plzák, Jan |
author_facet |
Plzák, Jan Kratochvil, Vít Kešner, Adam Šurda, Pavol Vlasák, Aleš Zvěřina, Eduard |
author_role |
author |
author2 |
Kratochvil, Vít Kešner, Adam Šurda, Pavol Vlasák, Aleš Zvěřina, Eduard |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Plzák, Jan Kratochvil, Vít Kešner, Adam Šurda, Pavol Vlasák, Aleš Zvěřina, Eduard |
dc.subject.por.fl_str_mv |
Endoscopic Endonasal Approach Pterygopalatine Fossa Skull Base Tumor |
topic |
Endoscopic Endonasal Approach Pterygopalatine Fossa Skull Base Tumor |
description |
OBJECTIVES: Access to the pterygopalatine fossa is very difficult due to its complex anatomy. Therefore, an open approach is traditionally used, but morbidity is unavoidable. To overcome this problem, an endoscopic endonasal approach was developed as a minimally invasive procedure. The surgical aim of the present study was to evaluate the utility of the endoscopic endonasal approach for the management of both benign and malignant tumors of the pterygopalatine fossa. METHOD: We report our experience with the endoscopic endonasal approach for the management of both benign and malignant tumors and summarize recent recommendations. A total of 13 patients underwent surgery via the endoscopic endonasal approach for pterygopalatine fossa masses from 2014 to 2016. This case group consisted of 12 benign tumors (10 juvenile nasopharyngeal angiofibromas and two schwannomas) and one malignant tumor. RESULTS: No recurrent tumor developed during the follow-up period. One residual tumor (juvenile nasopharyngeal angiofibroma) that remained in the cavernous sinus was stable. There were no significant complications. Typical sequelae included hypesthesia of the maxillary nerve, trismus, and dry eye syndrome. CONCLUSION: The low frequency of complications together with the high efficacy of resection support the use of the endoscopic endonasal approach as a feasible, safe, and beneficial technique for the management of masses in the pterygopalatine fossa. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/140033 10.6061/clinics/2017(09)06 |
url |
https://www.revistas.usp.br/clinics/article/view/140033 |
identifier_str_mv |
10.6061/clinics/2017(09)06 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/140033/135233 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Clinics info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Clinics |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 72 No. 9 (2017); 554-561 Clinics; v. 72 n. 9 (2017); 554-561 Clinics; Vol. 72 Núm. 9 (2017); 554-561 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222763246419968 |