Ultrasonic Scalpel-Assisted Endoscopic Endonasal Surgery of Infratemporal Fossa: Our First Impressions.

Abstract

BACKGROUND:

The endoscopic endonasal transpterygoid approach is emerging as a valid option for treating selected tumors in the infratemporal fossa. Compared with traditional open approaches, the endoscopic endonasal approach presents more difficulty in controlling bleeding and less choice in surgical instruments for endoscopic tumor dissection, which is often performed with bipolar forceps or steel dissectors.

CASE DESCRIPTION:

We describe the use of an ultrasonic scalpel device for performing endoscopic endonasal resection of 2 rare infratemporal fossa tumors (mature teratoma and hemangiopericytoma), which has not been reported in the literature so far. We also review the literature on endoscopic ultrasonic scalpel use.

CONCLUSIONS:

The ultrasonically activated scalpel is a safe, effective and simple to use device, which achieved excellent hemostasis and did not damage adjacent neurovascular structures.

• Authors: Gülpembe Bozkurt, Mario Turri-Zanoni, Federico Russo, Hassan Ahmed Elhassan, Paolo Castelnuovo, Paolo Battaglia
• Journal: World neurosurgery (World Neurosurg) Vol. 123 Pg. 23-28 (Mar 2019) ISSN: 1878-8769 [Electronic] United States
• PMID: 30521958 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2018 Elsevier Inc. All rights reserved.

Topics

• Adult
• Calcinosis (pathology, therapy)
• Diagnosis, Differential
• Equipment Design
• Female
• Humans
• Infratentorial Neoplasms (pathology, therapy)
• Magnetic Resonance Imaging
• Natural Orifice Endoscopic Surgery (instrumentation, methods)
• Surgical Instruments
• Tomography, X-Ray Computed
• Treatment Outcome
• Ultrasonic Surgical Procedures (instrumentation)