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Skull base surgery. 1998; 8(1): 11–16.
PMCID: PMC1656658

The Middle Cranial Fossa Approach in Managing Lesions of the Temporomandibular Joint


The temporomandibular joint (TMS) lies at the skull base. Its bony roof forins part of the floor of the middle cranial fossa. It is bounded by the infratemporal fossa, external auditory canal, middle ear, and eustachian tube. When wide resection of tumors arising within the TMJ is necessary, skull base approaches permit complete resection with oncologically sound margins. Precise pathologic diagnosis can be difficult and extra care should be taken to ensure diagnostic accuracy. Outcomes are improved if attention and effort is directed to rehabilitation of the TMJ. Five such cases are presented and the literature is reviewed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Nitzan DW, Marmary Y, Hasson O, Elidan J. Chondrosarcoma arising in the temporomandibular joint: a case report and literature review. J Oral Maxillofac Surg. 1993 Mar;51(3):312–315. [PubMed]
  • Kreutziger KL. Surgical management of the temporomandibular joint in resection of regional tumors. South Med J. 1994 Feb;87(2):215–224. [PubMed]
  • Roland PS, Meyerhoff W, Mickey B. Management of the external auditory canal in skull base surgery. Skull Base Surg. 1991;1(1):39–42. [PMC free article] [PubMed]

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