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Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
Published on: August 15, 2025
Video-assisted resection in mediofacial lateral tumors.
1Plastic Surgery Department, Argerich Hospital, Ciudad Autonoma de Buenos Aires, Buenos Aires, Argentina. guerrissi@speedy.com.ar
The Journal of Craniofacial Surgery
|July 18, 2012
Summary
Video-assisted surgery is highly effective for cheek soft tissue tumors originating from the parotid gland, minor salivary glands, and masseter muscle. This technique offers improved visualization and safety, making it a preferred choice over traditional methods.
Area of Science:
- Plastic Surgery
- Surgical Oncology
Background:
- Tumors of the cheek soft tissues can arise from the parotid gland, minor salivary glands, and masseter muscle.
- Traditional surgical approaches may have limitations in visualization and potential for scarring or nerve injury.
Purpose of the Study:
- To evaluate the efficacy and advantages of video-assisted surgery for cheek soft tissue tumors.
- To compare video-assisted techniques with classic surgical approaches.
Main Methods:
- A retrospective review of 158 patients treated between 1999 and 2010.
- Analysis of 16 patients with cheek soft tissue tumors treated with video-assisted approaches, utilizing intraoral or preauricular incisions.
Main Results:
- Video-assisted surgery provided excellent illumination and magnification for safe dissection.
- Techniques minimized risk to facial nerve branches and Stensen duct.
- Intraoral incisions avoided visible scarring, with minor complications like hematoma and temporary nerve paresis observed.
Conclusions:
- Video-assisted surgery is a highly effective and advantageous approach for treating cheek soft tissue tumors.
- Endoscopic techniques in the mid-face lateral areas are considered a primary treatment option.
- This method offers superior outcomes compared to conventional surgical methods.