Facial Traanslocation Approach case-2

Approaches to Skull Base

I Anterior Cranial Base

Anterior craniofacial resection
Basal subfrontal approach

II Middle Cranial Base

Central Compartment

Trans septal sphenoid
Transpalatal
Extended maxillotomy
Midfacial split

Lateral Compartment

Infratemporal fossa approach l case 1 l case 2
Transparotid
Subtemporal preauricular infratemporal fossa approach
Trans facial approaches

Facial translocation approach l case 1 l case 2
Extended osteoplastic maxillotomy approach
Extended transfacial subcranial approach l case 1 l case 2

III Posterior cranial base

Transtemporal approaches

Translabyrinthine approach
Transotic approach
Transcochlear approach l Case 1 l Case 2

Extreme lateral/transcondylar approach

Skull Base Surgery

Transfacial Approaches - Facial Translocation Approach

Case-2

A 13 year old boy presented with left facial swelling, proptosis and complete loss of vision in the left eye of eight months duration. CT scan showed a large , well enhancing mass filling the nasal cavity, antrum, infratemporal fossa and extending intracranially into the middle cranial fossa. Only part of the tumour was supplied by the branches of external carotid artery and was embolised. The tumour was excised using a facial translocation approach..


Axial CT shows tumour in the nasal cavity, maxillary antrum, nasopharynx, infratemporal fossa and sphenoid sinus.		Coronal CT shows tumour in the nasal cavity, maxillary antrum, nasopharynx, infratemporal fossa, sphenoid sinus and middle cranial fossa.

Skin flaps were raised. Tumour is seen below the zygomatic arch.		Tumour has been removed. Defect was partly obliterated by rotating the temporalis muscle.

Eighteen months postoperative MRI shows no subcranial residual tumour.		Eighteen months postoperative MRI shows no subcranial residual tumour.

Preoperative photograph.		Postoperative photograph.
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