Varshney Rickul, Zawawi Faisal, Tewfik Marc A
Department of Otolaryngology-Head & Neck Surgery, McGill University, Royal Victoria Hospital, 687 Avenue Des Pins Ouest, Suite E-4.41, Montreal, QC, Canada H3A 1A1.
Case Rep Otolaryngol. 2013;2013:215793. doi: 10.1155/2013/215793. Epub 2013 Oct 10.
The infratemporal fossa (ITF) is a potential space bounded by bony structures that can be occupied by both benign and malignant tumors. It is also a potential area of abscess development, most commonly of dental origin. As with any abscess, the treatment of an ITF abscess is surgical drainage. We present a case of an ITF abscess involving the pterygoid muscles following dental extraction in a poorly controlled diabetic patient. The ITF was accessed with an endoscopic transseptal approach through the maxillary sinus to drain the abscess. This case of successful management supports the feasibility of the endoscopic approach in dealing with abscesses of the ITF.
颞下窝（ITF）是一个由骨性结构界定的潜在间隙，可被良性和恶性肿瘤占据。它也是脓肿形成的潜在区域，最常见于牙源性。与任何脓肿一样，ITF脓肿的治疗方法是手术引流。我们报告一例在糖尿病控制不佳的患者拔牙后发生的累及翼状肌的ITF脓肿病例。通过上颌窦采用内镜经鼻中隔入路进入颞下窝以引流脓肿。该成功治疗病例支持了内镜入路处理ITF脓肿的可行性。
