Endoscopic endonasal approaches to infratemporal fossa tumors: A classification system and case series

Taylor, Robert J.; Patel, Mihir R.; Wheless, Stephen A.; McKinney, Kibwei A.; Stadler, Michael; Sasaki‐Adams, Deanna; Ewend, Matthew G.; Germanwala, Anand V.; Zanation, Adam M.

doi:10.1002/lary.24638

Cited by 63 publications

(46 citation statements)

References 23 publications

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“…Trigeminal schwannomas (TSs) are the most common skull‐base schwannomas after vestibular schwannomas and account for up to 0.36% of all intracranial neoplasms and 8% of skull‐base schwannomas . Most of them develop in the Gasserian ganglion, but they can occur anywhere along the course of the trigeminal root, ganglion, and peripheral branches.…”

Section: Benign Lesionsmentioning

confidence: 99%

ICAR: endoscopic skull‐base surgery

Wang

Zanation

Gardner

et al. 2019

Int Forum Allergy Rhinol

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157

279

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Background Endoscopic skull‐base surgery (ESBS) is employed in the management of diverse skull‐base pathologies. Paralleling the increased utilization of ESBS, the literature in this field has expanded rapidly. However, the rarity of these diseases, the inherent challenges of surgical studies, and the continued learning curve in ESBS have resulted in significant variability in the quality of the literature. To consolidate and critically appraise the available literature, experts in skull‐base surgery have produced the International Consensus Statement on Endoscopic Skull‐Base Surgery (ICAR:ESBS). Methods Using previously described methodology, topics spanning the breadth of ESBS were identified and assigned a literature review, evidence‐based review or evidence‐based review with recommendations format. Subsequently, each topic was written and then reviewed by skull‐base surgeons in both neurosurgery and otolaryngology. Following this iterative review process, the ICAR:ESBS document was synthesized and reviewed by all authors for consensus. Results The ICAR:ESBS document addresses the role of ESBS in primary cerebrospinal fluid (CSF) rhinorrhea, intradural tumors, benign skull‐base and orbital pathology, sinonasal malignancies, and clival lesions. Additionally, specific challenges in ESBS including endoscopic reconstruction and complication management were evaluated. Conclusion A critical review of the literature in ESBS demonstrates at least the equivalency of ESBS with alternative approaches in pathologies such as CSF rhinorrhea and pituitary adenoma as well as improved reconstructive techniques in reducing CSF leaks. Evidence‐based recommendations are limited in other pathologies and these significant knowledge gaps call upon the skull‐base community to embrace these opportunities and collaboratively address these shortcomings.

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Section: Benign Lesionsmentioning

confidence: 99%

ICAR: endoscopic skull‐base surgery

Wang

Zanation

Gardner

et al. 2019

Int Forum Allergy Rhinol

Self Cite

157

279

View full text Add to dashboard Cite

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“…Taylor et al reported that the incidence of malignancy in patients with infratemporal fossa was 47.6%. 18 The incidence of malignancy in temporal fossa lesions has not been reported, as published studies have been case reports or have included a small number of patients. In this study, the incidence of malignant tumours of the temporal fossa was found to be 58%.…”

Section: Discussionmentioning

confidence: 98%

Assessment of solid lesions of the temporal fossa with diffusion-weighted magnetic resonance imaging

Razek

2015

International Journal of Oral and Maxillofacial Surgery

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“…The endoscopic approach as the sole approach was reserved for benign tumors, while for malignant neoplasms the endoscopic approach was utilized in combination with other open approaches. The operative technique for the endoscopic endonasal approaches (EEAs) to the ITF have been previously described . EEAs to ITF tumors may include transpterygopalatine fossa approach, transmedial pterygoid plate approach, and translateral pterygoid plate approach.…”

Section: Methodsmentioning

confidence: 99%

“…The operative technique for the endoscopic endonasal approaches (EEAs) to the ITF have been previously described. 13 EEAs to ITF tumors may include transpterygopalatine fossa approach, transmedial pterygoid plate approach, and translateral pterygoid plate approach. Briefly, a medial maxillectomy is performed with inferior and middle turbinate removal, and F I G U R E 1 T2-weighted axial image of a high-grade malignant mesenchymal tumor of the right nasal cavity and sinuses and involving the infratemporal fossa posterior septectomy as necessary, which enables visualization of the maxillary sinus.…”

Section: Surgical Approachmentioning

confidence: 99%

Surgical approaches for infratemporal fossa tumor resection: Fifteen years' experience of a single center

et al. 2019

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Background The aims of this study were to report our center's experience with infratemporal fossa (ITF) tumors, to review the treatment modalities and outcomes. Methods Data of patients that underwent resection of ITF tumors in a single tertiary referral medical center were collected and analyzed. Results Sixty‐three patients were included. Sarcoma was the most common pathology (18; 29%). The most common surgical approach was the preauricular‐orbitozygomatic approach (24; 38%), followed by endoscopic, craniofacial resection, and combined approaches. Forty‐seven patients (75%) required reconstruction, 23 (49%) involving free tissue transfer. Thirty‐five patients (76%) with malignant lesions required adjuvant therapy consisting of radiotherapy, chemotherapy, or both. Thirty‐three patients suffered from complications related to surgery or adjuvant therapy. The three‐ and five‐years survival rates for malignancy were 82% and 66%, respectively. Conclusion Complete surgical resection of ITF involving tumors is feasible, providing good long‐term survival. Multidisciplinary approach is the key for success.

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Endoscopic endonasal approaches to infratemporal fossa tumors: A classification system and case series

Abstract: EEAs to ITF tumors are technically feasible with low risk of complications for well-selected patients. The proposed classification system is useful for anticipating potential sequelae for each approach.

Cited by 63 publications

References 23 publications

ICAR: endoscopic skull‐base surgery

ICAR: endoscopic skull‐base surgery

Assessment of solid lesions of the temporal fossa with diffusion-weighted magnetic resonance imaging

Surgical approaches for infratemporal fossa tumor resection: Fifteen years' experience of a single center

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