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Updated: Jun 23, 2026

04:04
Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
Published on: August 15, 2025
[Lateral transmandibular route for deep-lobe parotid tumor excision]
C Savoldelli1, C Righini, E Reyt
1hôpital Pasteur, CHU de Nice, France. csavoldelli@yahoo.fr
Summary
This study introduces a novel lateral transmandibular surgical approach for parapharyngeal space tumors. This technique avoids the mandible angle, preserving the crucial mandibular nerve.
Area of Science:
- Head and Neck Surgery
- Surgical Oncology
- Anatomy
Context:
- The parapharyngeal space is a complex anatomical region.
- Tumors in this space, particularly from the deep parotid lobe, pose surgical challenges.
- Risk of mandibular nerve damage is a significant concern during surgical access.
Purpose:
- To describe a new surgical approach for accessing parapharyngeal space tumors.
- To present an original lateral transmandibular route.
- To demonstrate a method that preserves the mandibular nerve.
Summary:
- A novel lateral transmandibular surgical route was developed for parapharyngeal space tumors.
- This approach involves maneuvering around the mandible angle.
- The technique successfully preserves the mandibular nerve, a critical structure in this region.
Impact:
- Offers a potentially safer surgical option for parapharyngeal space tumors.
- May reduce the risk of postoperative nerve deficits.
- Contributes to the armamentarium of surgical techniques for deep head and neck tumors.

