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Image Guided Transoral Approach to the Pterygopalatine Fossa

Authors

  • Benjamin Saul Bleier MD,

    Corresponding author
    1. Department of Otorhinolaryngology–Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, U.S.A.
    • Dr. Benjamin S. Bleier, UPHS Department of ORL:HNS, 3400 Spruce Street, 5 Ravdin, Philadelphia, PA 19104-4206.
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  • Natasha Mirza MD

    1. Department of Otorhinolaryngology–Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, U.S.A.
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  • Presented as a poster (Poster 76) at COSM through the Triologic Society, in Chicago, Illinois, U.S.A. on May 21, 2006.

Abstract

Objectives: We present a transoral approach using image guidance to approach inferiorly based lesions of the pterygopalatine fossa.

Study Design: Case report.

Methods: A 49-year-old male presenting with a benign cyst of the inferior pterygopalatine fossa. The presentation, workup, and management are discussed.

Results: The patient underwent a computed tomography scan that confirmed the location of the lesion in the left pterygopalatine fossa. An image guidance system was used to effect a complete transoral resection of the benign cyst.

Conclusions: Benign lesions of the pterygopalatine fossa may be successfully accessed using a transoral approach with image guidance, which minimizes postoperative morbidity.

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