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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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References

1Akst, LM, Albani, BJ, Strome, M. Subacute infratemporal fossa cellulitis with subsequent abscess formation in an immunocompromised patient. Am J Otolaryngol 2005;26:35–8CrossRefGoogle Scholar
2Leventhal, D, Schwartz, DN. Infratemporal fossa abscess: complication of dental injection. Arch Otolaryngol Head Neck Surg 2008;134:551–3CrossRefGoogle ScholarPubMed
3Chong, VF, Fan, YF. Pictorial review: radiology of the masticator space. Clin Radiol 1996;51:457–65CrossRefGoogle ScholarPubMed
4Bradley, JL. Infratemporal abscess of dental origin. Oral Surg Oral Med Oral Pathol 1955;8:151–3CrossRefGoogle ScholarPubMed
5Nishizaki, K, Ogawa, T, Akagi, H, Sato, K, Masuda, Y. Computed tomographic findings in two cases of cellulitis of the infratemporal fossa with abscess formation. Ann Otol Rhinol Laryngol 1998;107:807–9CrossRefGoogle ScholarPubMed
6Kim, IK, Kim, JR, Jang, K-S, Moon, YS, Park, SW. Orbital abscess from an odontogenic infection. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103:e1–6CrossRefGoogle ScholarPubMed
7Muñoz-Guerra, MF, González-García, R, Capote, AL, Escorial, V, Gías, LN. Subperiosteal abscess of the orbit: an unusual complication of the third molar surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;102:e9–13CrossRefGoogle ScholarPubMed
8Chossegros, C, Cheynet, F, Conrath, J. Infratemporal space infection after temporomandibular arthroscopy: an unusual complication. J Oral Maxillofac Surg 1995;53:949–51CrossRefGoogle ScholarPubMed
9Raghava, N, Evans, K, Basu, S. Infratemporal fossa abscess: complication of maxillary sinusitis. J Laryngol Otol 2004;118:377–8CrossRefGoogle ScholarPubMed
10Varshney, R, Zawawi, F, Tewfik, MA. Endoscopic drainage of an odontogenic pterygoid muscle abscess. Case Rep Otolaryngol 2013;2013:215793Google ScholarPubMed
11Nakayama, T, Asaka, D, Okushi, T, Yoshikawa, M, Moriyama, H, Otori, N. Endoscopic medial maxillectomy with preservation of inferior turbinate and nasolacrimal duct. Am J Rhinol Allergy 2012;26:405–8CrossRefGoogle ScholarPubMed
12Maroldi, R, Nicolai, P, eds. Imaging in Treatment Planning for Sinonasal Diseases. Berlin: Springer-Verlag, 2005CrossRefGoogle Scholar
13Freling, N, Roele, E, Schaefer-Prokop, C, Fokkens, W. Prediction of deep neck abscesses by contrast-enhanced computerized tomography in 76 clinically suspect consecutive patients. Laryngoscope 2009;119:1745–52CrossRefGoogle ScholarPubMed
14Okushi, T, Yoshikawa, M, Otori, N, Matsuwaki, Y, Asaka, D, Nakayama, T et al. Evaluation of symptoms and QOL with calcium alginate versus chitin-coated gauze for middle meatus packing after endoscopic sinus surgery. Auris Nasus Larynx 2012;39:31–7CrossRefGoogle ScholarPubMed
15Hidaka, H, Ishida, E, Suzuki, T, Matsutani, S, Kobayashi, T, Takahashi, S. Unusual parapharyngeal extension of peritonsillar abscess to the masticator space: successfully drained by extraoral and intraoral endoscopic approaches. Ann Otol Rhinol Laryngol 2014;123:333–7CrossRefGoogle Scholar