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J Neurol Surg Rep 2013; 74(02): 123-128
DOI: 10.1055/s-0033-1358377
Georg Thieme Verlag KG Stuttgart · New York

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

Tarik Ibrahim
1   Department of Neurological Surgery, Loyola University Medical Center, Maywood, Illinois, United States
,
Paul D. Ackerman
1   Department of Neurological Surgery, Loyola University Medical Center, Maywood, Illinois, United States
,
Kevin C. Welch
2   Department of Otolaryngology, Loyola University Medical Center, Maywood, Illinois, United States
,
Vikram C. Prabhu
1   Department of Neurological Surgery, Loyola University Medical Center, Maywood, Illinois, United States
› Author Affiliations
Further Information

Publication History

14 November 2012

15 August 2013

Publication Date:
06 November 2013 (online)

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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.

Keywords

Epidermoid cyst - endoscopic surgery - transpterygoid approach - silastic stent - skull base
 

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