Transpterygoid Stent Placement for Management of a Recurrent Infratemporal Fossa Epidermoid Cyst: A Technical Note

Abstract Epidermoid cysts (ECs) are benign congenital cysts that typically develop from misplaced stratified squamous epithelium during neural tube closure. They are most commonly encountered in the cerebellopontine angle, the fourth ventricle, and the region of the sella turcica. Recurrence of an E...

Full description

Bibliographic Details
Main Authors: Tarik Ibrahim, Paul D. Ackerman, Kevin C. Welch, Vikram C. Prabhu
Format: Article
Language:English
Published: Georg Thieme Verlag KG 2013-11-01
Series:Journal of Neurological Surgery Reports
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1358377
_version_ 1811327171234365440
author Tarik Ibrahim
Paul D. Ackerman
Kevin C. Welch
Vikram C. Prabhu
author_facet Tarik Ibrahim
Paul D. Ackerman
Kevin C. Welch
Vikram C. Prabhu
author_sort Tarik Ibrahim
collection DOAJ
description Abstract Epidermoid cysts (ECs) are benign congenital cysts that typically develop from misplaced stratified squamous epithelium during neural tube closure. They are most commonly encountered in the cerebellopontine angle, the fourth ventricle, and the region of the sella turcica. Recurrence of an EC or regrowth of residual components following surgery is known to occur, but the exact incidence is not defined. Repeat surgical removal is generally considered but may be complicated by significant morbidity. We present a novel endoscopic method by which to manage a recurrent EC of the infratemporal fossa using a silastic stent through a transpterygoid approach that permits periodic drainage of recurrent cyst material in the outpatient setting with minimal morbidity.
first_indexed 2024-04-13T15:02:05Z
format Article
id doaj.art-2e00c535aca94e8db006244efc047b06
institution Directory Open Access Journal
issn 2193-6358
2193-6366
language English
last_indexed 2024-04-13T15:02:05Z
publishDate 2013-11-01
publisher Georg Thieme Verlag KG
record_format Article
series Journal of Neurological Surgery Reports
spelling doaj.art-2e00c535aca94e8db006244efc047b062022-12-22T02:42:15ZengGeorg Thieme Verlag KGJournal of Neurological Surgery Reports2193-63582193-63662013-11-01740212312810.1055/s-0033-1358377Transpterygoid Stent Placement for Management of a Recurrent Infratemporal Fossa Epidermoid Cyst: A Technical NoteTarik Ibrahim0Paul D. Ackerman1Kevin C. Welch2Vikram C. Prabhu3Department of Neurological Surgery, Loyola University Medical Center, Maywood, Illinois, United StatesDepartment of Neurological Surgery, Loyola University Medical Center, Maywood, Illinois, United StatesDepartment of Otolaryngology, Loyola University Medical Center, Maywood, Illinois, United StatesDepartment of Neurological Surgery, Loyola University Medical Center, Maywood, Illinois, United StatesAbstract Epidermoid cysts (ECs) are benign congenital cysts that typically develop from misplaced stratified squamous epithelium during neural tube closure. They are most commonly encountered in the cerebellopontine angle, the fourth ventricle, and the region of the sella turcica. Recurrence of an EC or regrowth of residual components following surgery is known to occur, but the exact incidence is not defined. Repeat surgical removal is generally considered but may be complicated by significant morbidity. We present a novel endoscopic method by which to manage a recurrent EC of the infratemporal fossa using a silastic stent through a transpterygoid approach that permits periodic drainage of recurrent cyst material in the outpatient setting with minimal morbidity.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1358377epidermoid cystendoscopic surgerytranspterygoid approachsilastic stentskull base
spellingShingle Tarik Ibrahim
Paul D. Ackerman
Kevin C. Welch
Vikram C. Prabhu
Transpterygoid Stent Placement for Management of a Recurrent Infratemporal Fossa Epidermoid Cyst: A Technical Note
Journal of Neurological Surgery Reports
epidermoid cyst
endoscopic surgery
transpterygoid approach
silastic stent
skull base
title Transpterygoid Stent Placement for Management of a Recurrent Infratemporal Fossa Epidermoid Cyst: A Technical Note
title_full Transpterygoid Stent Placement for Management of a Recurrent Infratemporal Fossa Epidermoid Cyst: A Technical Note
title_fullStr Transpterygoid Stent Placement for Management of a Recurrent Infratemporal Fossa Epidermoid Cyst: A Technical Note
title_full_unstemmed Transpterygoid Stent Placement for Management of a Recurrent Infratemporal Fossa Epidermoid Cyst: A Technical Note
title_short Transpterygoid Stent Placement for Management of a Recurrent Infratemporal Fossa Epidermoid Cyst: A Technical Note
title_sort transpterygoid stent placement for management of a recurrent infratemporal fossa epidermoid cyst a technical note
topic epidermoid cyst
endoscopic surgery
transpterygoid approach
silastic stent
skull base
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1358377
work_keys_str_mv AT tarikibrahim transpterygoidstentplacementformanagementofarecurrentinfratemporalfossaepidermoidcystatechnicalnote
AT pauldackerman transpterygoidstentplacementformanagementofarecurrentinfratemporalfossaepidermoidcystatechnicalnote
AT kevincwelch transpterygoidstentplacementformanagementofarecurrentinfratemporalfossaepidermoidcystatechnicalnote
AT vikramcprabhu transpterygoidstentplacementformanagementofarecurrentinfratemporalfossaepidermoidcystatechnicalnote