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Minimally invasive transnasal approach to infratemporal fossa abscess

Published online by Cambridge University Press:  29 June 2015

K Nomura ,
H Hidaka ,
Y Takata  and
Y Katori
K Nomura*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan
H Hidaka
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan
Y Takata
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan
Y Katori
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan
*
Address for correspondence: Dr Kazuhiro Nomura, Department of Otolaryngology – Head and Neck Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi 980-8574, Japan Fax: +81 22 717 7307 E-mail: kazuhiroe@gmail.com
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Abstract

Background:

Infratemporal fossa abscess following odontogenic infection is not rare, and usually occurs as a sequela of dental disease. Infratemporal fossa abscess was previously treated with the combination of buccal incision and temporal incision, or via a transoral approach.

Method:

This paper reports a case of infratemporal fossa abscess in a 51-year-old female.

Results:

The abscess was drained transnasally via an endoscopic modified medial maxillectomy approach, preserving the inferior turbinate and nasolacrimal duct. The pain remitted the next day and trismus had diminished in one week.

Conclusion:

The transnasal approach with endoscopic modified medial maxillectomy is a direct, minimally invasive method that provides a direct field of view for drainage of infratemporal fossa abscess. This approach is recommended for infratemporal fossa abscess.

Keywords

AbscessDental CariesEndoscopyInfectionSkull Base
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 8 , August 2015 , pp. 812 - 816
Copyright
Copyright © JLO (1984) Limited 2015 

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