Volume 35, Issue 11 pp. 1567-1572
Original Article

Outcome of resection of infratemporal fossa tumors

Babak Givi MD

Corresponding Author

Babak Givi MD

Department of Otolaryngology, Head and Neck Surgery, New York University, New York, NY

Department of Otolaryngology, Head and Neck Surgery, New York University, 423 E 23rd St. New York, NY 10010. E-mail: [email protected]Search for more papers by this author
Jeffrey Liu MD

Jeffrey Liu MD

Department of Otolaryngology, Head and Neck Surgery, Temple University, Philadelphia, Pennsylvania

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Mark Bilsky MD

Mark Bilsky MD

Neurosurgical Service, Department of Surgery, Memorial Sloan–Kettering Cancer Center, New York, New York

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Babak Mehrara MD

Babak Mehrara MD

Plastic and Reconstructive Service, Department of Surgery, Memorial Sloan–Kettering Cancer Center, New York, New York

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Joseph Disa MD

Joseph Disa MD

Plastic and Reconstructive Service, Department of Surgery, Memorial Sloan–Kettering Cancer Center, New York, New York

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Andrea Pusic MD

Andrea Pusic MD

Plastic and Reconstructive Service, Department of Surgery, Memorial Sloan–Kettering Cancer Center, New York, New York

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Peter Cordeiro MD

Peter Cordeiro MD

Plastic and Reconstructive Service, Department of Surgery, Memorial Sloan–Kettering Cancer Center, New York, New York

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Jatin P. Shah MD

Jatin P. Shah MD

Head and Neck Service, Department of Surgery, Memorial Sloan–Kettering Cancer Center, New York, New York

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Dennis H. Kraus MD

Dennis H. Kraus MD

Head and Neck Service, Department of Surgery, Memorial Sloan–Kettering Cancer Center, New York, New York

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First published: 16 January 2013
Citations: 20

This work was presented at the 20th North American Skull Base Society Annual Meeting, October 14–18, 2009, New Orleans, Louisiana.

Abstract

Background

A variety of tumors arise in or extend to the infratemporal fossa. We investigated the outcome of surgical management of these tumors.

Methods

We conducted a retrospective review of a craniofacial approach to resection of infratemporal fossa tumors from 1992 to 2008 in a cancer center.

Results

Forty-three patients underwent resection of a infratemporal fossa tumors (68% men). Median age was 46 years (range, 1–81 years). The most common pathology was sarcoma (13; 30%). Twenty-two tumors (51%) were recurrent. Twenty patients (46%) underwent resection of tumors from the infratemporal fossa, 5 (12%) required resection of the anterior skull base, and 18 (42%) required orbital exenteration, additionally. Thirty-one patients (72%) required reconstruction with free tissue transfer. Twenty-seven patients (62.8%) required further treatment with radiation and/or chemotherapy. Complications occurred in 9 patients (21%). Six patients (14%) underwent salvage operations. Median follow-up was 24 months. Median overall survival and 3-year survival were 40 months and 59.6%.

Conclusion

Tumors involving the infratemporal fossa can be resected with acceptable morbidity and long-term survival. © 2013 Wiley Periodicals, Inc. Head Neck, 35: 1567–1572, 2013

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