Quantitative Evaluation of Transtemporal and Facial Translocation Approaches to Infratemporal Fossa

Kuriakose, Moni Abraham; Sorin, Alex; Sharan, Rajeev; Fishman, Andrew J.; Babu, Ramesh; DeLacure, Mark D.

doi:10.1055/s-2007-992765

Cited by 3 publications

(1 citation statement)

References 25 publications

(26 reference statements)

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“…7 The indications and access provided by the approach modifications have been standardized. 13 In appropriately selected cases, complete resection of tumor can be achieved using the facial translocation and its modifications. In our series, R0 resections were achieved in 90% of patients.…”

Section: Discussionmentioning

confidence: 99%

Morbidity Profile and Functional Outcome of Modified Facial Translocation Approaches for Skull Base Tumors

Kekatpure¹,

Rajan²,

Patel³

et al. 2011

Skull Base

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The primary objective of this study was to evaluate morbidity associated with facial translocation approaches for skull base and results of various technical modifications. Forty consecutive patients who underwent facial translocation approaches for accessing skull base tumors from July 2005 to June 2010 were included in this study. There were 25 patients who underwent standard facial translocation, 4 patients medial mini, and 11 patients underwent extended facial translocation. Thirteen patients had benign disease and 27 patients had malignant disease. Resection was R0 in 36 and R1 in 4 patients. Most patients had acceptable cosmetic results. None of the patients had problems related to occlusion or speech and swallowing. The commonest complication observed was nasal crusting in 16 patients. Grade 2 trismus and exposure of mini plate was seen in three patients. Two patients developed necrosis of translocated bone. Three patients developed palatal fistula before modification of palatal incision. Facial translocation provides a satisfactory access for adequate clearance of skull base tumors with satisfactory aesthetic and functional results. With modifications of the surgical technique and implementation of new surgical tools, the morbidity of facial translocation approaches will continue to decrease.KEYWORDS: Facial translocation approach, morbidity, skull base, infratemporal fossa Tumors located within the nasopharynx, posterior maxilla, infratemporal fossa, and central skull base pose a significant challenge with regard to access and exposure. Successful treatment of these tumors depends upon adequacy of exposure and complete resection of the lesion. Several approaches such as the facial translocation, 1 the maxillary swing, 2 the infratemporal fossa, 3 the transpalatal 4 as well as the transmandibular 5 and endoscopic approaches 6 have been described to provide exposure for resection of these tumors. Most of these approaches are traditionally associated with significant functional and cosmetic consequences.

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Section: Discussionmentioning

confidence: 99%

Morbidity Profile and Functional Outcome of Modified Facial Translocation Approaches for Skull Base Tumors

Kekatpure¹,

Rajan²,

Patel³

et al. 2011

Skull Base

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Quantification and comparison of neurosurgical approaches in the preclinical setting: literature review

et al. 2016

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There is a growing awareness of the need for evidence-based surgery and of the issues that are specific to research in surgery. Well-conducted anatomical studies can represent the first, preclinical step for evidence-based surgical innovation and evaluation. In the last two decades, various reports have quantified and compared neurosurgical approaches in the anatomy laboratory using different methods and technology. The aim of this study was to critically review these papers. A PubMed and Scopus search was performed to select articles that quantified and compared different neurosurgical approaches in the preclinical setting. The basic characteristics that anatomically define a surgical approach were defined. Each study was analyzed for measured features and quantification method and technique. Ninety-nine papers, published from 1990 to 2013, were included in this review. A heterogeneous use of terms to define the features of a surgical approach was evident. Different methods to study these features have been reported; they are generally based on quantification of distances, angles, and areas. Measuring tools have evolved from the simple ruler to frameless stereotactic devices. The reported methods have each specific advantages and limits; a common limitation is the lack of 3D visualization and surgical volume quantification. There is a need for a uniform nomenclature in anatomical studies. Frameless stereotactic devices provide a powerful tool for anatomical studies. Volume quantification and 3D visualization of the surgical approach is not provided with most available methods.

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Quantitative Anatomical Studies in Neurosurgery: A Systematic and Critical Review of Research Methods

Agosti,

De Maria,

Mattogno

et al. 2023

Life

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Background: The anatomy laboratory can provide the ideal setting for the preclinical phase of neurosurgical research. Our purpose is to comprehensively and critically review the preclinical anatomical quantification methods used in cranial neurosurgery. Methods: A systematic review was conducted following the PRISMA guidelines. The PubMed, Ovid MEDLINE, and Ovid EMBASE databases were searched, yielding 1667 papers. A statistical analysis was performed using R. Results: The included studies were published from 1996 to 2023. The risk of bias assessment indicated high-quality studies. Target exposure was the most studied feature (81.7%), mainly with area quantification (64.9%). The surgical corridor was quantified in 60.9% of studies, more commonly with the quantification of the angle of view (60%). Neuronavigation-based methods benefit from quantifying the surgical pyramid features that define a cranial neurosurgical approach and allowing post-dissection data analyses. Direct measurements might diminish the error that is inherent to navigation methods and are useful to collect a small amount of data. Conclusion: Quantifying neurosurgical approaches in the anatomy laboratory provides an objective assessment of the surgical corridor and target exposure. There is currently limited comparability among quantitative neurosurgical anatomy studies; sharing common research methods will provide comparable data that might also be investigated with artificial intelligence methods.

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Quantitative Evaluation of Transtemporal and Facial Translocation Approaches to Infratemporal Fossa

Abstract: Based on the results, we propose a clinical algorithm for selecting a surgical approach based on the position and extent of an infratemporal or petrotemporal lesion.

Cited by 3 publications

References 25 publications

Morbidity Profile and Functional Outcome of Modified Facial Translocation Approaches for Skull Base Tumors

Morbidity Profile and Functional Outcome of Modified Facial Translocation Approaches for Skull Base Tumors

Quantification and comparison of neurosurgical approaches in the preclinical setting: literature review

Quantitative Anatomical Studies in Neurosurgery: A Systematic and Critical Review of Research Methods

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