Highlights
- •Neoplasms of the infratemporal fossa present a complex surgical challenge.
- •Multiple open and endoscopic approaches have been used to address these tumors.
- •Variations of each approach allow for unique indications and benefits.
- •Surgical complications, prevention, and reconstruction must be considered.
The infratemporal fossa is a complex space that both contains and is closely associated
with vital neurovascular structures. As such, surgical access of the infratemporal
fossa presents a definitive challenge requiring complete understanding of ventral
skull base anatomy and expertise with both open craniofacial and endoscopic techniques.
Anterior and lateral approaches to the infratemporal fossa vary greatly and may be
individualized to each case in order to optimize visualization and instrumentation.
Significant progress has been made in the development of surgical techniques for treatment
of tumors involving the infratemporal fossa, including expanded endonasal approaches.
Endoscopic, minimally invasive, and open approaches each provide distinct advantages
and disadvantages. In the present article, we will review indications and limitations
of the varied methodology for approaching the infratemporal fossa.
Keywords
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Published online: November 26, 2021
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