Soriano Roberto M, Barbero Juan M Revuelta, Pradilla Gustavo, Henriquez Oswaldo A
Emory University School of Medicine, Department of Otolaryngology-Head & Neck Surgery, Atlanta, GA, United States.
Emory University School of Medicine, Department of Neurosurgery, Atlanta, GA, United States.
Neurocirugia (Engl Ed). 2023 Mar-Apr;34(2):87-92. doi: 10.1016/j.neucie.2022.11.012. Epub 2023 Feb 6.
Transpatial skull base lesions involving the infratemporal fossa (ITF) are challenging due to the complex neurovascular structures of the region. Open approaches have traditionally been utilized to access these spaces. We present a 55-year-old woman presented with a mesenchymal mass involving the left ITF and masticator space. A combined endoscopic endonasal transpterygoid approach was performed followed by an endoscopic transoral-transmandibular corridor to access and resect the tumor. The post-operative course was unremarkable with no recurrence during her follow-up. Combined endoscopic approaches for transpatial tumor resection offered sufficient exposure to access safely each space.
由于颞下窝（ITF）区域复杂的神经血管结构，累及该区域的跨空间颅底病变具有挑战性。传统上一直采用开放手术入路来进入这些间隙。我们报告一例55岁女性，患有累及左侧颞下窝和咀嚼肌间隙的间叶性肿块。采用联合鼻内镜经翼突入路，随后通过鼻内镜经口-经下颌骨通道来进入并切除肿瘤。术后过程顺利，随访期间无复发。联合鼻内镜手术入路用于跨空间肿瘤切除可提供足够的暴露，以便安全进入每个间隙。
