The efficacy and safety analysis of endoscopic resection for infratemporal fossa benign mass
10.3760/cma.j.cn115330-20230721-00012
- VernacularTitle:内镜下颞下窝良性肿物手术切除的临床疗效和安全性分析
- Author:
Zhenxiao HUANG
1
;
Qian HUANG
;
Shunjiu CUI
;
Jingying MA
;
Mingrui HUO
;
Quanjie YANG
;
Bing ZHOU
Author Information
1. 首都医科大学附属北京同仁医院耳鼻咽喉头颈外科，北京 100730
- Keywords:
Endoscopic surgery;
Transnasal approach;
Infratemporal fossa mass;
Efficacy;
Safety
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2024;59(1):12-20
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy and safety of endoscopic resection of infratemporal fossa mass and to determine the indications for surgery.Methods:A retrospective case series study was conducted, including a total of 29 patients who underwent endoscopic surgery to treat infratemporal fossa mass in the Department of Rhinology of Beijing Tongren Hospital, Capital Medical University, from April 2008 to December 2021. Ten males and 19 females were included in the study, with age of (46.5±13.7) years. Pre-and post-operative sinus CT, sinus or nasopharyngeal enhanced MRI were evaluated, respectively. The main outcome measurements were the total resection of mass and the incidence of surgery-related complications.Results:Among the 29 cases of infratemporal fossa mass, 22 were schwannomas, 3 were cysts, 2 were neurofibromas, 1 was pleomorphic adenoma and 1 was basal cell adenoma. Preoperative imaging showed well-defined lesion boundaries, and postoperative pathology confirmed the benign nature of all cases. The endoscopic transnasal approach was used in 28 patients, while the combination of the transnasal approach and the transoral approach was used in 1 patient. Complete tumor removal was achieved in all cases with a 100% resection rate. The average follow-up time was 38 months (7-168 months), and no tumor recurrence was observed.Conclusions:The Endoscopic transnasal approach is a safe and effective surgical approach for the treatment of benign tumors or masses in the infratemporal fossa.
