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Analysis of Surgical Approaches to Skull Base Tumors Involving the Pterygopalatine and Infratemporal Fossa

DC FieldValueLanguage
dc.contributor.author김창훈-
dc.contributor.author문인석-
dc.contributor.author윤주헌-
dc.contributor.author조형주-
dc.date.accessioned2019-09-20T07:29:47Z-
dc.date.available2019-09-20T07:29:47Z-
dc.date.issued2019-
dc.identifier.issn1049-2275-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/170924-
dc.description.abstractSelecting an appropriate surgical approach for resection of huge skull base tumors involving pterygopalatine and infratemporal fossa is challenging because of their rarity and high possibility of vital anatomical structure injuries. To suggest the guidance of selecting the appropriate approach by analyzing outcomes and satisfactions of known surgical approaches with our previous experience, the authors retrospectively analyzed skull base tumor cases experienced for 24 years, and condensed to 4 well-known surgical approaches: maxillary swing, infratemporal fossa type C, transzygomatic, and a combined transzygomatic-midfacial degloving approach: to review indications, advantages, and limitations of these approaches. Maxillary swing approach was useful in large-sized tumors as it provided wide surgical field; however, inevitable facial scar was the main drawbacks, especially in adolescents. Infratemporal fossa approach type C was helpful in the involvement of vital vascular structures; however, long incision scar with temporal area depression and permanent conductive hearing loss were the factors of patients' dissatisfaction. Transzygomatic approach could be the good alternative to the infratemporal fossa approach type C; however, en bloc tumor resection was impossible due to its limited operative space. To overcome limitations of these approaches, transzygomatic approach was combined with midfacial degloving approach, and it enabled lateral and anterior access without prominent facial scar and/or deformity while providing wide surgical space. Based on our 24 years of surgical experience in managing huge skull base tumors, the authors recommend the combined transzygomatic-midfacial degloving approach, which enables complete resection with short postoperative healing periods and no disfiguring facial incisions.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherLippincott Williams & Wilkins-
dc.relation.isPartOfJournal of Craniofacial Surgery-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.subject.MESHAdolescent-
dc.subject.MESHChild-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNeurosurgical Procedures/methods*-
dc.subject.MESHPterygopalatine Fossa/surgery*-
dc.subject.MESHReconstructive Surgical Procedures/methods*-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHSkull Base Neoplasms/surgery*-
dc.titleAnalysis of Surgical Approaches to Skull Base Tumors Involving the Pterygopalatine and Infratemporal Fossa-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Otorhinolaryngology (이비인후과학교실)-
dc.contributor.googleauthorChung, Hyo Jin-
dc.contributor.googleauthorMoon, In Seok-
dc.contributor.googleauthorCho, Hyung-Ju-
dc.contributor.googleauthorKim, Chang-Hoon-
dc.contributor.googleauthorSharhan, Salma Saud Al-
dc.contributor.googleauthorChang, Jung Hyun-
dc.contributor.googleauthorYoon, Joo-Heon-
dc.identifier.doi10.1097/SCS.0000000000005108-
dc.contributor.localIdA01050-
dc.contributor.localIdA01374-
dc.contributor.localIdA01374-
dc.contributor.localIdA02604-
dc.contributor.localIdA02604-
dc.contributor.localIdA03936-
dc.contributor.localIdA03936-
dc.relation.journalcodeJ01356-
dc.identifier.eissn1536-3732-
dc.identifier.pmid30640855-
dc.identifier.urlhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00001665-201903000-00073&D=ovft&PDF=y-
dc.contributor.alternativeNameKim, Chang Hoon-
dc.contributor.affiliatedAuthor김창훈-
dc.contributor.affiliatedAuthor문인석-
dc.contributor.affiliatedAuthor문인석-
dc.contributor.affiliatedAuthor윤주헌-
dc.contributor.affiliatedAuthor윤주헌-
dc.contributor.affiliatedAuthor조형주-
dc.contributor.affiliatedAuthor조형주-
dc.citation.volume30-
dc.citation.number2-
dc.citation.startPage589-
dc.citation.endPage595-
dc.identifier.bibliographicCitationJournal of Craniofacial Surgery, Vol.30(2) : 589-595, 2019-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers

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