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Direct and remote outcome after treatment of tumours involving the subtemporal fossa and related structures with the extended subtemporal approach
Affiliations- Katedra i Oddział Kliniczny Neurochirurgii w Sosnowcu, Śląski Uniwersytet Medyczny w Katowicach
- Klinika Chirurgii Onkologicznej i Rekonstrukcyjnej, Centrum Onkologii-Instytut im. Marii Skłodowskiej-Curie, Oddział w Gliwicach, Gliwice, Poland
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Abstract
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 methodsTwenty-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.
ResultsThe 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.
ConclusionsThe 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
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 methodsTwenty-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.
ResultsThe 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.
ConclusionsThe 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.
Keywords
subtemporal fossa, meningioma, angiofibroma, trigeminal neuroma, microsurgery
About this articleTitle
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
Pages
148-158
Page views
206
Article views/downloads
353
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
