Infratemporal fossa approach type a with transcondylar‐transtubercular extension for Fisch type C2 to C4 tympanojugular paragangliomas

Head and Neck - Tập 36 Số 11 - Trang 1581-1588 - 2014
Mario Sanna1, Seung‐Ho Shin2, Paolo Piazza3, Enrico Pasanisi4, Francesca Vitullo1, Filippo Di Lella1, Andrea Bacciu4
1Gruppo Otologico Piacenza-Rome and University of Chieti, Italy.
2Department of Otolaryngology–Head and Neck Surgery CHA University Seongnam Republic of Korea
3Department of Neuroradiology, University-Hospital of Parma, Parma, Italy
4Department of Clinical and Experimental Medicine, Otolaryngology Unit, University-Hospital of Parma, Parma, Italy

Tóm tắt

AbstractBackgroundThe classic infratemporal fossa type A approach (IFTA‐A) permits superior and anterior exposure of the jugular foramen. The transcondylar‐transtubercular extension facilitates posteroinferior and medial access to the jugular foramen. The purpose of this study was to present the IFTA‐A with transcondylar‐transtubercular extension and to assess its surgical results.MethodsA review of patients with tympanojugular paraganglioma who underwent resection through the IFTA‐A with transcondylar‐transtubercular extension was performed.ResultsIn all, 39 patients were included in the study. The average follow‐up was 23.6 months. Gross total tumor removal was achieved in 87.2% of the cases and there was evidence of recurrence in 5.9% of this group.ConclusionThe transcondylar‐transtubercular extension of the classic IFTA‐A is aimed at making the excision of Fisch type C2 to C4 tympanojugular paragangliomas simpler and safer by drilling out one third of the lateral part of the occipital condyle and removing the jugular process and jugular tubercle. © 2013 Wiley Periodicals, Inc. Head Neck 36: 1581–1588, 2014

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