Skull Base 2000; Volume 10(Number 1): 0001-0010
DOI: 10.1055/s-2000-6789
Copyright © 2000 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212)760-0888 x132

Tumors of the Infratemporal Fossa

Rammohan Tiwari, Jasper Quak, Saskia Egeler, Ludi Smeele, Isaac v.d. Waal, Paul v.d. Valk, René Leemans
  • Departments of ORL Head Neck Surgery (RT, JQ, RL), Neurosurgery (SE) Maxillofacial Surgery (LS) Pathology (PvdV), and Oral Pathology (IvdW), Division of Surgical Oncology, Reconstruction, and Skull Base Surgery, Academic Hospital VU, AmsCaretterdam, The Netherlands
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Publikationsverlauf

Publikationsdatum:
31. Dezember 2000 (online)

ABSTRACT

-Neoplastic processes involving the infratemporal fossa may originate from the tissues in the region, but more often are the result of extension from neighboring structures. Metastatic lesions located in the region are rarely encountered. Because of its concealed localization, tumors may remain unnoticed for some time. Clinical signs and symptoms often arise late, are insidious, and may be mistakenly attributed to other structures. The close proximity of the area to the intracranial structures, the orbit, the paranasal sinuses, the nasopharynx, and the facial area demands careful planning of surgical excision and combined procedures may be called for. Modern imaging techniques have made three-dimensional visualization of the extent of the pathology possible. Treatment depends on the histopathology and staging of the tumor. Several surgical approaches have been developed over the years. Radical tumor excision with preservation of the quality of life remain the ultimate goal for those tumors where surgery is indicated. Experience over a decade with various pathologies is presented.