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Updated: Oct 1, 2026
Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
Published on: August 15, 2025
[Microsurgical treatment of apical region by combined orbital pterygoid approach]
Objective:
To study microsurgical treatment of orbital apical region tumor by combined orbital pterygoid approach.
Method:
In 21 cases, manifestations and surgical methods were analyzed retrospectively. The surgical approach and procedure were discussed.
Results:
All the 21 cases were treated by combined orbital pterygoid approach. The tumors were removed completely in 18 cases, and partially resected in 3. There was no death.
Conclusions:
This kind of mass is difficult to explore by either transorbital or transcranial approach because of its position. Combined orbital pterygoid approach provides better access and exploration. Appropriate surgical approach, hemostasis and gentle microsurgical manipulation are the key to reducing postoperative complications.
Insights
The combined orbital pterygoid approach effectively treats orbital apical region tumors, offering better surgical access than traditional methods. This microsurgical technique achieved complete tumor removal in most cases with no fatalities.
Area of Science:
- Neurosurgery
- Ophthalmology
- Surgical Oncology
Context:
- Orbital apical region tumors present significant surgical challenges due to their anatomical location.
- Traditional surgical approaches, such as transorbital and transcranial, offer limited access to these deep-seated tumors.
Purpose:
- To evaluate the efficacy and safety of the combined orbital pterygoid approach for microsurgical resection of orbital apical region tumors.
- To analyze the surgical methods and outcomes in a series of patients treated with this approach.
Summary:
- A retrospective analysis of 21 cases treated with the combined orbital pterygoid approach for orbital apical region tumors was performed.
- Complete tumor resection was achieved in 18 cases (85.7%), with partial resection in 3 cases (14.3%).
- No mortality was reported in the study cohort.
Impact:
- The combined orbital pterygoid approach provides superior access and visualization for microsurgical tumor resection in the orbital apex.
- This approach, coupled with meticulous surgical technique, hemostasis, and gentle manipulation, is crucial for minimizing postoperative complications and improving patient outcomes.
