Combined endoscopic endonasal transpterygoid and sublabial transmaxillary approaches for a large infratemporal fossa trigeminal schwannoma.
Endoscopic endonasal
Infratemporal fossa
Sublabial
Transmaxillary
Transpterygoid
Trigeminal schwannoma
Journal
Acta neurochirurgica
ISSN: 0942-0940
Titre abrégé: Acta Neurochir (Wien)
Pays: Austria
ID NLM: 0151000
Informations de publication
Date de publication:
09 2022
09 2022
Historique:
received:
21
05
2022
accepted:
24
07
2022
pubmed:
4
8
2022
medline:
3
9
2022
entrez:
3
8
2022
Statut:
ppublish
Résumé
Trigeminal schwannomas (TSs) with solitary extracranial location are rare, and surgical excision is challenging. In recent years, the endoscopic endonasal transmaxillary transpterygoid approach (EETPA) has been advocated as an effective strategy for TSs in the infratemporal fossa (ITF). We describe the steps of the EETPA combined with the sublabial transmaxillary approach for the surgical excision of a giant mandibular schwannoma of the ITF. Indications, advantages, and approach-specific complications are also discussed. The main surgical steps are shown in an operative video. A combined EETPA and sublabial transmaxillary approach represents a safe and effective option for the surgical excision of extracranial TSs.
Sections du résumé
BACKGROUND
Trigeminal schwannomas (TSs) with solitary extracranial location are rare, and surgical excision is challenging. In recent years, the endoscopic endonasal transmaxillary transpterygoid approach (EETPA) has been advocated as an effective strategy for TSs in the infratemporal fossa (ITF).
METHOD
We describe the steps of the EETPA combined with the sublabial transmaxillary approach for the surgical excision of a giant mandibular schwannoma of the ITF. Indications, advantages, and approach-specific complications are also discussed. The main surgical steps are shown in an operative video.
CONCLUSION
A combined EETPA and sublabial transmaxillary approach represents a safe and effective option for the surgical excision of extracranial TSs.
Identifiants
pubmed: 35922721
doi: 10.1007/s00701-022-05327-2
pii: 10.1007/s00701-022-05327-2
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
2525-2531Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.
Références
Hofstetter CP, Singh A, Anand VK, Kacker A, Schwartz TH (2010) The endoscopic, endonasal, transmaxillary transpterygoid approach to the pterygopalatine fossa, infratemporal fossa, petrous apex, and the Meckel cave. J Neurosurg 113:967–974
doi: 10.3171/2009.10.JNS09157
Martinez-Perez R, Aref M, Ramakhrisnan V, Youssef AS (2021) Combined biportal unilateral endoscopic endonasal and endoscopic anterior transmaxillary approach for resection of lesions involving the infratemporal fossa. Acta Neurochir (Wien) 163:3439–3445
doi: 10.1007/s00701-021-04994-x
Martínez-Pérez R, Zachariah M, Li R, Silveira-Bertazzo G, Carrau RL, Prevedello DM (2020) Expanded endoscopic endonasal transpterygoid transmaxillary approach for a giant trigeminal schwannoma. Neurosurg Focus Video 2:V15
doi: 10.3171/2020.4.FocusVid.19904
Park HH, Hong SD, Kim YH, Hong CK, Woo KI, Yun IS, Kong DS (2020) Endoscopic transorbital and endonasal approach for trigeminal schwannomas: a retrospective multicenter analysis (KOSEN-005). J Neurosurg 133:467–476
doi: 10.3171/2019.3.JNS19492
Pinheiro-Neto CD, Fernandez-Miranda JC, Prevedello DM, Carrau RL, Gardner PA, Snyderman CH (2013) Transposition of the pterygopalatine fossa during endoscopic endonasal transpterygoid approaches. J Neurol Surg B Skull Base 74:266–267
doi: 10.1055/s-0033-1347367
Pinheiro-Neto CD, Fernandez-Miranda JC, Rivera-Serrano CM, Paluzzi A, Snyderman CH, Gardner PA, Sennes LU (2012) Endoscopic anatomy of the palatovaginal canal (palatosphenoidal canal): a landmark for dissection of the vidian nerve during endonasal transpterygoid approaches. Laryngoscope 122:6–12
doi: 10.1002/lary.21808
Ramina R, Mattei TA, Sória MG, da Silva Jr EB, Leal AG, Neto MC, Fernandes YB (2008) Surgical management of trigeminal schwannomas. Neurosurg Focus 25:E6
doi: 10.3171/FOC.2008.25.12.E6
Raza SM, Donaldson AM, Mehta A, Tsiouris AJ, Anand VK, Schwartz TH (2014) Surgical management of trigeminal schwannomas: defining the role for endoscopic endonasal approaches. Neurosurg Focus 37:E17
doi: 10.3171/2014.7.FOCUS14341
Samii M, Migliori MM, Tatagiba M, Babu R (1995) Surgical treatment of trigeminal schwannomas. J Neurosurg 82:711–718
doi: 10.3171/jns.1995.82.5.0711
Yang L, Hu L, Zhao W, Zhang H, Liu Q, Wang D (2018) Endoscopic endonasal approach for trigeminal schwannomas: our experience of 39 patients in 10 years. Eur Arch Otorhinolaryngol 275:735–741
doi: 10.1007/s00405-018-4871-1