Abstract:Abstract:ObjectiveTo summarize our experience with the perioperative management of patients with infratemporal fossa tumors.MethodsClinical data of 154 patients with infratemporal fossa tumors surgically treated in Xuanwu Hospital between Sep. 2013 and Aug. 2018 were analyzed retrospectively. Of them, endoscopic endonasal approach (EEA) was adopted in 105, transcervical approach in 26 and transfacial approach in 23． ResultsPreoperative assessments included routine blood tests, computerized tomography (CT) scan and enhanced magnetic resonance imaging (MRI) of skull base. Preoperative digital subtraction angiography (DSA) was accomplished in 32 cases. Intraoperative blood transfusion was required in 37, and prophylactic tracheotomy in the 5 patients with transcervical approach. Cerebrospinal fluid (CSF) leak occurred in 4 cases and got cured by conservative treatment and dressing change without intracranial infection. Two patients had posterior epistaxis from sphenopalatine artery or internal maxillary artery and got cured with surgical hemostasis. One patient with EEA had postoperative internal carotid artery vasospasm and cerebral infarction which was improved after treatment including antivasospasms, corticosteroid and brain protective agents.ConclusionThe perioperative management for surgical resection of infratemporal fossa tumors includes preoperative assessments, intraoperative blood transfusion, as well as the diagnosis and treatment of complications. Proper and prompt perioperative management is crucial to patients’ early recovery.
