The infratemporal fossa approach type a with transcondylar-transtubercular extension for Fisch type C2-C4 tympanojugular paragangliomas
Mario Sanna, Seung-Ho Shin, Paolo Piazza, Enrico Pasanisi, Francesca Vittulo, Filippo Di Lella, Andrea Bacciu
Head & Neck, doi: 10.1002/hed.23480
ABSTRACT
Background
The 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 is to present the IFTA-A with transcondylar-transtubercular extension and to assess its surgical results.
Methods
A review of patients with tympanojugular paraganglioma who underwent resection through the IFTA-A with trancondylar-transtubercular extension was performed.
Results
In 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.
Conclusion
The transcondylar-transtubercular extension of the classic IFTA-A is aimed at making the excision of Fisch Type C2-C4 tympanojugular paragangliomas simpler and safer by drilling out of one-third of the lateral part of the occipital condyle and removing the jugular process and jugular tubercle. Head Neck, 2013
- PMID: 23996610
- Fulltext: http://onlinelibrary.wiley.com/doi/10.1002/hed.23480/abstract