Surgery of the Anterior Infratemporal Fossa (AITF) and the Pterygopalatine Fossa (PPF) lesions: critical assessment of operative exposure, loss of functioning tissue and morbidity between Extradural Subtemporal Infratemporal Approach (ESITA) and Endonasal Endoscopic Transmaxillary Transpterygoid Approach (EEMP) - Summary - MDSpire
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Surgery of the Anterior Infratemporal Fossa (AITF) and the Pterygopalatine Fossa (PPF) lesions: critical assessment of operative exposure, loss of functioning tissue and morbidity between Extradural Subtemporal Infratemporal Approach (ESITA) and Endonasal Endoscopic Transmaxillary Transpterygoid Approach (EEMP)
To quantitatively compare the Extradural Subtemporal Infratemporal Approach (ESITA) and the Endonasal Endoscopic Transmaxillary Transpterygoid (EEMP) Approach in terms of surgical exposure (defined as the area accessible for resection), tissue preservation, and morbidity.
Key Findings:
ESITA provided a greater resection volume for the AITF (92% vs 78.7%, p = 0.043).
EEMP achieved a larger resection volume for the PPF (100% vs 73.1%, p = 0.043).
EEMP offered superior vertical exposure to the PPF, while both approaches provided comparable AITF exposure.
ESITA demonstrated wider surgical freedom and more favorable angles of attack.
Interpretation:
ESITA is advantageous for AITF lesions due to its greater surgical maneuverability, while EEMP is better suited for PPF pathology, offering superior vertical exposure.
Limitations:
The study's reliance on cadaveric models may not fully replicate clinical scenarios, potentially limiting the applicability of findings.
The limited sample size in the clinical review may affect the robustness of the conclusions drawn.
Conclusion:
The choice of surgical approach should be tailored based on the specific lesion location and characteristics, with ESITA preferred for AITF lesions and EEMP for PPF lesions.
