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Skull base surgery. 1994 July; 4(3): 151–158.
PMCID: PMC1661797

Trigeminal Nerve Tumors of the Lateral Skull Base

Abstract

A retrospective review of 8 trigeminal nerve tumors centered in the lateral skull base was carried out. Clinical manifestations, radiographic features, and outcome of management are detailed. Six patients in this series presented for primary surgery, and 2 patients had prior surgical interventions with incomplete resections.

Surgical exposure via the infratemporal fossa (ITF) approaches resulted in complete tumor extirpation in all but I of the reoperated cases. Limited postoperative cranial neuropathies and the lack of intracranial complications are particularly notable in this series.

A mean follow-up of 3 years revealed no evidence of recurrent disease. In the case of incomplete resection, there appears to be no appreciable growth of the small tumor remnant in the region of the cavernous sinus after 5 years.

Trigeminal tumors of the lateral skull base with intracranial components below the level of the posterior clinoid process are ideally suited for the ITF techniques. The importance of securing the petrous carotid artery through a wide exposure is emphasized.

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Selected References

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  • Martuza RL, Ojemann RG. Bilateral acoustic neuromas: clinical aspects, pathogenesis, and treatment. Neurosurgery. 1982 Jan;10(1):1–12. [PubMed]
  • Toriumi DM, Atiyah RA, Murad T, Sisson GA., Sr Extracranial neurogenic tumors of the head and neck. Otolaryngol Clin North Am. 1986 Aug;19(3):609–617. [PubMed]
  • KRAGH LV, SOULE EH, MASSON JK. Benign and malignant neurilemmomas of the head and neck. Surg Gynecol Obstet. 1960 Aug;111:211–218. [PubMed]
  • McGuirt WF, Browne JD. An anterolateral approach to the anterior skull base: report of a malignant schwannoma of the pterygomaxillary space. Otolaryngol Head Neck Surg. 1988 Apr;98(4):323–327. [PubMed]
  • Arena S, Hilal EY. Neurilemomas of the infratemporal space: report of a case and review of the literature. Arch Otolaryngol. 1976 Mar;102(3):180–184. [PubMed]
  • Robitaille Y, Seemayer TA, El Deiry A. Peripheral nerve tumors involving paranasal sinuses: a case report and review of the literature. Cancer. 1975 Apr;35(4):1254–1258. [PubMed]
  • Nager GT. Neurinomas of the trigeminal nerve. Am J Otolaryngol. 1984 Sep-Oct;5(5):301–333. [PubMed]
  • Puterman M, Tovi F, Sidi J, Yanay II. Neurilemmoma of the pterygo-maxillary fossa. J Laryngol Otol. 1981 Apr;95(4):421–424. [PubMed]
  • Jones HS. Benign schwannoma involving the infratemporal fossa and orbit. Laryngoscope. 1983 Feb;93(2):200–201. [PubMed]
  • Gooder P, Farrington T. Extracranial neurilemmomata of the head and neck. J Laryngol Otol. 1980 Feb;94(2):243–249. [PubMed]
  • Iwai Y, Hakuba A, Noguchi K, Nishimura S. A gigantic neurilemoma originating in the pterygopalatine fossa. Case report. Surg Neurol. 1988 Dec;30(6):452–456. [PubMed]
  • Fisch U, Pillsbury HC. Infratemporal fossa approach to lesions in the temporal bone and base of the skull. Arch Otolaryngol. 1979 Feb;105(2):99–107. [PubMed]
  • Fisch U. The infratemporal fossa approach for nasopharyngeal tumors. Laryngoscope. 1983 Jan;93(1):36–44. [PubMed]
  • Shotton JC, Kuhwoede R, Fisch U. Mesenchymal tumors of the skull base with particular reference to surgical management and outcome. Skull Base Surg. 1992;2(2):112–117. [PMC free article] [PubMed]
  • May JS, Wiestler OD, Fisch U. Leiomyosarcoma of the skull base-a diagnostic challenge. Skull Base Surg. 1992;2(2):103–111. [PMC free article] [PubMed]
  • Close LG, Mickey BE, Samson DS, Anderson RG, Schaefer SD. Resection of upper aerodigestive tract tumors involving the middle cranial fossa. Laryngoscope. 1985 Aug;95(8):908–914. [PubMed]
  • JEFFERSON G. The trigeminal neurinomas with some remarks on malignant invasion of the gasserian ganglion. Clin Neurosurg. 1953;1:11–54. [PubMed]
  • McCormick PC, Bello JA, Post KD. Trigeminal schwannoma. Surgical series of 14 cases with review of the literature. J Neurosurg. 1988 Dec;69(6):850–860. [PubMed]
  • SCHISANO G, OLIVECRONA H. Neurinomas of the Gasserian ganglion and trigeminal root. J Neurosurg. 1960 Mar;17:306–322. [PubMed]
  • Bullitt E, Tew JM, Boyd J. Intracranial tumors in patients with facial pain. J Neurosurg. 1986 Jun;64(6):865–871. [PubMed]
  • Yonas H, Jannetta PJ. Neurinoma of the trigeminal root and atypical trigeminal neuralgia: their commonality. Neurosurgery. 1980 Mar;6(3):273–277. [PubMed]
  • CROCKETT DJ. SURGICAL APPROACH TO THE BACK OF THE MAXILLA. Br J Surg. 1963 Sep;50:819–821. [PubMed]
  • Arriaga MA, Janecka IP. Facial translocation approach to the cranial base: the anatomic basis. Skull Base Surg. 1991;1(1):26–33. [PMC free article] [PubMed]
  • Sekhar LN, Schramm VL, Jr, Jones NF. Subtemporal-preauricular infratemporal fossa approach to large lateral and posterior cranial base neoplasms. J Neurosurg. 1987 Oct;67(4):488–499. [PubMed]
  • Mickey B, Close L, Schaefer S, Samson D. A combined frontotemporal and lateral infratemporal fossa approach to the skull base. J Neurosurg. 1988 May;68(5):678–683. [PubMed]

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