open access

Vol 44, No 2 (2010)
ARTYKUŁ ORYGINALNY
Submitted: 2009-10-02
Get Citation

Direct and remote outcome after treatment of tumours involving the subtemporal fossa and related structures with the extended subtemporal approach

Piotr Ładziński, Henryk Majchrzak, Cezary Szymczyk, Wojciech Kaspera, Mariusz Maliszewski, Adam Maciejewski, Janusz Wierzgoń, Krzysztof Majchrzak, Michał Tymowski, Piotr Adamczyk
DOI: 10.1016/S0028-3843(14)60006-2
·
Neurol Neurochir Pol 2010;44(2):148-158.

open access

Vol 44, No 2 (2010)
ARTYKUŁ ORYGINALNY
Submitted: 2009-10-02

Abstract

Background and purpose

The aim of the study was to present our results of the surgical treatment of subtemporal fossa tumours and surrounding regions using the extended subtemporal approach.

Material and methods

Twenty-five patients (10 women, 15 men) with subtemporal fossa tumours were included in the study. The neurological and performance status of the patients were assessed before and after surgery as well as at the conclusion of treatment. The approximate volume of the operated tumour, its relation to large blood vessels and cranial nerves, as well as consistency and vascularisation were assessed.

Results

The symptom duration ranged from 2 to 80 months (mean: 14 months). In 44% of patients, headache was the predominant symptom. Less frequent symptoms were: paralysis of the abducent nerve and disturbances of the trigeminal nerve. Approximate volume of the tumours ranged from 13 to 169 cm3 (mean: 66 cm3). The most frequent histological diagnosis was meningioma (16%), followed by angiofibroma, neurinoma and adenocystic carcinoma (12%). Total or subtotal resection was achieved in 80% of patients.

Conclusions

The extended subtemporal approach allows for the removal of tumours of the subtemporal fossa and surrounding regions. This approach also allows one to remove tumours expanding in the regions surrounding the subtemporal fossa only. In such cases the subtemporal fossa constitutes the way of the surgical approach.

Abstract

Background and purpose

The aim of the study was to present our results of the surgical treatment of subtemporal fossa tumours and surrounding regions using the extended subtemporal approach.

Material and methods

Twenty-five patients (10 women, 15 men) with subtemporal fossa tumours were included in the study. The neurological and performance status of the patients were assessed before and after surgery as well as at the conclusion of treatment. The approximate volume of the operated tumour, its relation to large blood vessels and cranial nerves, as well as consistency and vascularisation were assessed.

Results

The symptom duration ranged from 2 to 80 months (mean: 14 months). In 44% of patients, headache was the predominant symptom. Less frequent symptoms were: paralysis of the abducent nerve and disturbances of the trigeminal nerve. Approximate volume of the tumours ranged from 13 to 169 cm3 (mean: 66 cm3). The most frequent histological diagnosis was meningioma (16%), followed by angiofibroma, neurinoma and adenocystic carcinoma (12%). Total or subtotal resection was achieved in 80% of patients.

Conclusions

The extended subtemporal approach allows for the removal of tumours of the subtemporal fossa and surrounding regions. This approach also allows one to remove tumours expanding in the regions surrounding the subtemporal fossa only. In such cases the subtemporal fossa constitutes the way of the surgical approach.

Get Citation

Keywords

subtemporal fossa, meningioma, angiofibroma, trigeminal neuroma, microsurgery

About this article
Title

Direct and remote outcome after treatment of tumours involving the subtemporal fossa and related structures with the extended subtemporal approach

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 44, No 2 (2010)

Pages

148-158

DOI

10.1016/S0028-3843(14)60006-2

Bibliographic record

Neurol Neurochir Pol 2010;44(2):148-158.

Keywords

subtemporal fossa
meningioma
angiofibroma
trigeminal neuroma
microsurgery

Authors

Piotr Ładziński
Henryk Majchrzak
Cezary Szymczyk
Wojciech Kaspera
Mariusz Maliszewski
Adam Maciejewski
Janusz Wierzgoń
Krzysztof Majchrzak
Michał Tymowski
Piotr Adamczyk

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk, Poland
tel.:+48 58 320 94 94, fax:+48 58 320 94 60, e-mail: viamedica@viamedica.pl