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Endoscopic endonasal approach for mass resection of the pterygopalatine fossa
J. Plzák, V. Kratochvil, A. Kešner, P. Šurda, A. Vlasák, E. Zvěřina,
Jazyk angličtina Země Brazílie
Typ dokumentu časopisecké články
Grantová podpora
NV16-29032A
MZ0
CEP - Centrální evidence projektů
Digitální knihovna NLK
Plný text - Článek
NLK
Directory of Open Access Journals
od 2005 do 2022
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od 2005
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od 2008
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od 2008
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od 2005-01-01
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od 2005-02-01
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- MeSH
- angiofibrom diagnostické zobrazování patologie chirurgie MeSH
- dospělí MeSH
- fossa pterygopalatina diagnostické zobrazování patologie chirurgie MeSH
- karcinom diagnostické zobrazování patologie chirurgie MeSH
- lidé středního věku MeSH
- lidé MeSH
- magnetická rezonanční tomografie metody MeSH
- mladiství MeSH
- mladý dospělý MeSH
- nádory nosohltanu diagnostické zobrazování patologie chirurgie MeSH
- nádory nosu diagnostické zobrazování patologie chirurgie MeSH
- následné studie MeSH
- neurilemom diagnostické zobrazování patologie chirurgie MeSH
- počítačová rentgenová tomografie metody MeSH
- reprodukovatelnost výsledků MeSH
- retrospektivní studie MeSH
- stupeň nádoru MeSH
- terapeutická embolizace metody MeSH
- transanální endoskopická chirurgie metody MeSH
- výsledek terapie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
OBJECTIVES: Access to the pterygopalatine fossa is very difficult due to its complex anatomy. Therefore, an open approach is traditionally used, but morbidity is unavoidable. To overcome this problem, an endoscopic endonasal approach was developed as a minimally invasive procedure. The surgical aim of the present study was to evaluate the utility of the endoscopic endonasal approach for the management of both benign and malignant tumors of the pterygopalatine fossa. METHOD: We report our experience with the endoscopic endonasal approach for the management of both benign and malignant tumors and summarize recent recommendations. A total of 13 patients underwent surgery via the endoscopic endonasal approach for pterygopalatine fossa masses from 2014 to 2016. This case group consisted of 12 benign tumors (10 juvenile nasopharyngeal angiofibromas and two schwannomas) and one malignant tumor. RESULTS: No recurrent tumor developed during the follow-up period. One residual tumor (juvenile nasopharyngeal angiofibroma) that remained in the cavernous sinus was stable. There were no significant complications. Typical sequelae included hypesthesia of the maxillary nerve, trismus, and dry eye syndrome. CONCLUSION: The low frequency of complications together with the high efficacy of resection support the use of the endoscopic endonasal approach as a feasible, safe, and beneficial technique for the management of masses in the pterygopalatine fossa.
Citace poskytuje Crossref.org
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