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Updated: Jul 19, 2026

Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
Published on: August 15, 2025
Image guided transoral approach to the pterygopalatine fossa
Benjamin Saul Bleier1, Natasha Mirza
1Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA. benjamin.bleier@uphs.upenn.edu
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.
