2.A Case of Chronic Invasive Fungal Sinusitis Invading Pterygopalatine Fossa.
Dong Kee KIM ; Seung Kyu NAM ; Kyeong Ah LEE ; Jin Hee CHO
Korean Journal of Otolaryngology - Head and Neck Surgery 2010;53(5):316-319
Chronic invasive fungal sinusitis is a slowly destructive process that most commonly affects the ethmoid and sphenoid sinus, but may involve any paranasal sinus. The disease typically has a time course over 12 weeks. Pathologically, it is characterized as a dense accumulation of hyphae, occasional vascular invasion and sparse inflammatory reaction with involvement of local structures. Aspergillus fumigates is the most common pathogen. In this report, we present a patient with chronic invasive fungal sinusitis invading pterygopalatine fossa, which was presented as only mild thickening of posterior wall of maxillary sinus at initial CT scan.
Aspergillus
;
Humans
;
Hyphae
;
Maxillary Sinus
;
Pterygopalatine Fossa
;
Sinusitis
;
Sphenoid Sinus
3.Salvage Surgery for Locally Recurred Nasopharyngeal Carcinoma.
Kyung yuhl HAN ; Kyung Suck KOH ; Chang Jin KIM ; Sang Yoon KIM
Korean Journal of Otolaryngology - Head and Neck Surgery 2001;44(5):538-542
There are several options for the management of patients with locally recurred nasopharyngeal carcinoma after irradiation. Many patients can benefit from reirradiation but the complications of high dose irradiation for the second time are often severe and unbearable. In some patients, the recurred lesion may persist even after the reirradiation. Obtaining an adequate exposure of the nasopharynx for an oncologic surgical procedure has been challenging because of its surgical inaccessibility. However, improvements in the surgical approaches to the nasopharynx and paranasopharynx have been made in recent years. Two illustrative cases, in which we performed salvage surgery, are presented in this article. Using the maxillary swing approach, we removed the recurrent nasopharyngeal tumor in a 43 year old female patient. The reassembly of the osseous and soft tissues was not difficult and the associated morbidity was acceptable. In a 19 year old male patient, subtemporal-preauricular infratemporal fossa approach was performed with low morbidity for the removal of tumor recurred at the pterygopalatine fossa.
Adult
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Female
;
Humans
;
Male
;
Nasopharynx
;
Pterygopalatine Fossa
;
Young Adult
5.Transnasal Endoscopic Resection of Juvenile Nasopharyngeal Angiofibroma: A Case Report.
Yong Dae KIM ; Chang Hoon BAI ; Bo Su SUH ; Jun Chul PARK
Journal of Rhinology 1999;6(1):70-74
The surgical approach to juvenile nasopharyngeal angiofibroma (JNA) is determined by the topographic localization, the extent of the tumor, and the experience of the surgical team.1)2) Current surgical options include lateral rhinotomy, midfacial degloving, transpalatal, infratemporal fossa, and transnasal approaches.2)3) Recently, the transnasal endoscopic surgical approach has sometimes been applied to treat benign tumors such as JNA.1)3)4) Transnasal endoscopic excision of a case of JNA limited to the left posterior nasal cavity, nasopharynx, and anterior pterygopalatine fossa was performed successfully on a 17-year old male patient. An endoscopic follow-up at postoperative two years did not indicate residual tumor or recurrence.
Adolescent
;
Angiofibroma*
;
Follow-Up Studies
;
Humans
;
Male
;
Nasal Cavity
;
Nasopharynx
;
Neoplasm, Residual
;
Pterygopalatine Fossa
;
Recurrence
6.A case report of pterygopalatine fossa communication arachnoid cyst.
Qiang WANG ; Qing-quan ZHANG ; Shao-hong JIANG
Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2013;48(3):250-251
Endoscopy
;
methods
;
Female
;
Humans
;
Meningocele
;
surgery
;
Middle Aged
;
Pterygopalatine Fossa
;
surgery
7.A Case of Neurofibroma of the Orbit and Pterygopalatine Fossa.
Yong Ran KIM ; Sang Yeul LEE ; Hong Bok KIM
Journal of the Korean Ophthalmological Society 1990;31(3):373-377
In neurofibroma, not only schwann cells but also perineural cell, endoneural cells, and fibroblastoid cells create the tumor mass. Simple, isolated neurofibroma are common in the skin but rare in the eye. Simple isolated neurofibroma of the eye are common in the superior orbit, and a case with an isolated neurofibroma of the orbit and maxillary antrum has been reported. The authors have experienced a 57-year-old male patient who complained exophthalmos on his left eye for 2 years. The neurofibroma of the orbit and pterygopalatine fossa was confirmed and reported with a review of literature.
Exophthalmos
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Humans
;
Male
;
Maxillary Sinus
;
Middle Aged
;
Neurofibroma*
;
Orbit*
;
Pterygopalatine Fossa*
;
Schwann Cells
;
Skin
8.Endoscopic skull base surgery under the guidance of image navigation technology.
Bo YAN ; Qiuhang ZHANG ; Haili LYU ; Mingxia ZHANG ; Lianjie CAO ; Wei WEI ; Pu LI ; JinFei SU
Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2014;49(9):726-732
OBJECTIVETo investigate the feasibility of image navigation technology in endoscopic skull base surgery.
METHODSThis study consisted of 75 patients who underwent the endoscopic operations with the help of the image navigation system by the same surgeon between March 2010 and March 2013. The time to prepair image navigation system, identifying anatomical structure, complications, tumor resection, and follow-up results were analysed.
RESULTSThe application of image navigation technology in the endoscopic skull base operations was both safe and reliable for delineation of tumors and identification of vital structures hidden or encased by the tumors, such as internal carotid artery, optic canal, comb, saddle bottom, foramen rotundum, foramen ovale, foramen lacerum, jugular foramen, cerebral dura mater. The tumor was removed completely, subtotally, or partially. All patients were successfully registered with accuracy, and the preoperative time was 8-15 minutes for preparation, 11 minutes in average. The target error was less than or equal to 1.5 mm. With guidance of the image navigation system, all patients were successfully operated on without serious complication. There were 13 cases with anterior skull base tumor, all were removed completely. There were 28 cases with sella region tumor, 21 totally resected, 7 subtotally resected. There were 20 cases with petroclival region tumor, 12 totally resected, 5 subtotally resected, 3 partially resected. There were 14 cases with pterygopalatine fossa and/or infratemporal fossa region tumor, 11 totally resected, 3 subtotally resected. All patients were available for follow-up (mean = 26 months) except 6 cases.
CONCLUSIONImage navigation technology can be applied in endoscopic skull base operations with advantages of accurately locating, clearly marking, significantly decreasing incidence of complications, and maximally removing the lesions.
Carotid Artery, Internal ; Endoscopy ; Humans ; Pterygopalatine Fossa ; Skull Base ; surgery ; Temporal Bone
9.Pituitary Epithelioid Osteosarcoma after Gamma-knife Surgery of a Pituitary Adenoma.
So Young PARK ; You Jin KIM ; Eun Jeong LEE ; Jae Shin CHOI ; Jae Hyeon KIM ; Sang Man JIN ; Kyu Yeon HUR
Korean Journal of Medicine 2017;92(2):195-199
With the increasing use of stereotactic radiosurgery, recent reports have suggested that stereotactic radiosurgery may induce secondary malignancies. While the risk of secondary malignancy after conventional radiotherapy is well known, its development after stereotactic radiosurgery has been reported in only a few cases. Here we present the case of a 56-year-old female with visual disturbance of sudden onset. She underwent trans-sphenoidal surgery for a pituitary adenoma 13 years earlier. Imaging studies revealed a newly developed pituitary mass invading the right carvenous sinus. Gross total resection of the tumor was performed using a trans-sphenoidal and pterygopalatine fossa approach. The histological diagnosis was pituitary epithelioid osteosarcoma. Clinicians should be aware of the rare occurrence of radiation-induced pituitary sarcoma as a potentially fatal late complication of stereotactic radiosurgery.
Diagnosis
;
Female
;
Humans
;
Middle Aged
;
Osteosarcoma*
;
Pituitary Neoplasms*
;
Pterygopalatine Fossa
;
Radiosurgery
;
Radiotherapy
;
Sarcoma
10.A Case of Schwannoma Arising in Pterygopalatine Fossa.
Seog Kyun MUN ; Hang Sun CHO ; Youn Kyoung DO ; Young Ho HONG
Korean Journal of Otolaryngology - Head and Neck Surgery 2008;51(6):552-555
Schwannoma, also referred to as neurilemmoma, is an encapsulated benign soft tissue tumor arising from the schwann cells of the nerve sheath. Although 25 to 45% of schwannomas arise in the head and neck region, pterygopalatine fossa is the rarest sites of involvement with only 23 cases reported in the medical literature. It is usually seen in the second and fifth decades, but sex or racial predilection has not been noted. Clinical features of this tumor are dependent on the involved anatomical site, nerve of origin, and compression of adjacent structures. The differential diagnosis of masses in pterygopalatine fossa includes angiofibroma, fibrous histiocytoma, malignant melanoma, lymphoma, and low-grade rhabdomyosarcoma. The treatment of choice is that the tumor is completely removed with careful preservation of its nerve. Recently, the authors experienced a case of schwannoma arising in pterygopalatine fossa, which was removed with transantral approach. Hence, we report a rare case with a review of literature.
Angiofibroma
;
Diagnosis, Differential
;
Head
;
Histiocytoma, Malignant Fibrous
;
Lymphoma
;
Melanoma
;
Neck
;
Neurilemmoma
;
Pterygopalatine Fossa
;
Rhabdomyosarcoma
;
Schwann Cells