The intranasal endoscopic removal of schwannoma of the pterygopalatine and infratemporal fossae via the prelacrimal recess approach

Journal of Neurosurgery
Bing ZhouTing Ye

Abstract

This study was undertaken to analyze the results of a novel surgical method-the endoscopic prelacrimal recess approach (PLRA)-in patients with tumors involving the pterygopalatine fossa (PPF) and infratemporal fossa (ITF). The surgical technique and indications for this approach are also discussed. The authors analyzed data from 7 cases involving patients who underwent resection of PPF and ITF tumors by means of the endoscopic PLRA from 2004 to 2013. Preoperative and postoperative imaging studies were available in all cases and were reviewed. The surgical specimens were all confirmed to be schwannomas. All tumors were completely resected via endoscopic PLRA. There were no recurrences noted over a 28-month follow-up period. In 4 cases, the patients experienced postoperative facial numbness during the first two weeks after surgery, which gradually lessened thereafter. One patient continued to have mild facial numbness at most recent follow-up. The numbness had fully resolved in the other 3 cases. The intranasal endoscopic removal of schwannoma from PPF and ITF via PLRA can spare the whole lateral nasal wall, resulting in a reduction in morbidity. This is a novel minimally invasive surgical method for PPF and ITF tumors.

References

Jan 22, 2003·Neurosurgery·Alessandra AlfieriManfred Tschabitscher
Aug 15, 2006·Surgical Neurology·Shengde BaoYucai You
Aug 13, 2009·American Journal of Rhinology & Allergy·Richard J HarveyRodney J Schlosser
Jun 18, 2011·American Journal of Rhinology & Allergy·Vijay R RamakrishnanJames N Palmer

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Citations

Jan 10, 2018·International Forum of Allergy & Rhinology·Yi-Tsen LinTe-Huei Yeh
Feb 16, 2018·International Forum of Allergy & Rhinology·Khaled Kashlan, John Craig
Jan 15, 2019·The Journal of Craniofacial Surgery·Hyo Jin ChungJoo-Heon Yoon
May 1, 2018·The Quarterly Journal of Experimental Psychology : QJEP·Farah M DjalalTom Heyman
Nov 22, 2018·Clinical and Experimental Otorhinolaryngology·Jung Joo LeeSang Duk Hong
Jul 2, 2019·International Forum of Allergy & Rhinology·Lifeng LiRicardo L Carrau
Dec 4, 2019·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Zhaoyue ChenZhanglong Zheng
Jun 12, 2020·Ear, Nose, & Throat Journal·Po-Hung ChangTa-Jen Lee
Jun 9, 2020·The Journal of Laryngology and Otology·A AshmanN C-W Tan
Oct 2, 2020·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Zhaoyue ChenPeng Wang
Oct 16, 2019·American Journal of Rhinology & Allergy·Lifeng LiRicardo L Carrau
Mar 12, 2021·The Journal of Craniofacial Surgery·Hiroki YamadaKazunari Yoshida
Dec 1, 2020·The Journal of Craniofacial Surgery·Hiroyuki OzawaKaoru Ogawa
May 17, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Renchun Yan, Xinyun Fang

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