Transorales endoskopisches Verfahren mit lateralmolarem Zugang zur gutartigen Tumorresektion der infratemporalen Fossa

Overview

This article presents a transoral endoscopic approach for resecting benign infratemporal fossa tumors using low-temperature plasma ablation. The technique emphasizes anatomical preservation and minimizes external scarring, demonstrating feasibility for tumors ≤4 cm in diameter.

Key Study Components

Area of Science

• Neurosurgery
• Minimally invasive techniques
• Endoscopic surgery

Background

• Infratemporal fossa tumors can pose surgical challenges due to their proximity to critical neurovascular structures.
• Traditional approaches may result in significant external scarring and functional impairment.
• Minimally invasive techniques are increasingly favored for their benefits in recovery and cosmetic outcomes.
• Real-time navigation aids in precise tumor boundary mapping.

Purpose of Study

• To develop a minimally invasive technique for resecting infratemporal fossa tumors.
• To enhance surgical safety and accuracy through advanced technologies.
• To achieve scarless resection while preserving surrounding nerves and vessels.

Methods Used

• Transoral endoscopic approach with plasma ablation for dissection.
• Intraoperative nerve monitoring to ensure safety.
• Real-time surgical navigation for accurate dissection.
• Careful planning of surgical access to avoid critical structures.

Main Results

• The technique allows for precise dissection and hemorrhage control.
• Successful resection of tumors ≤4 cm with minimal complications.
• Enhanced safety and completeness of resection achieved through navigation.
• Demonstrated feasibility of the approach in clinical settings.

Conclusions

• The transoral endoscopic approach is a viable option for benign infratemporal fossa tumors.
• Minimally invasive techniques can significantly improve patient outcomes.
• Further studies are warranted to refine the technique and assess long-term results.

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