ENT 2019: Endoscope-assisted approach to infra-temporal fossa clearance in head and neck cancer – technique and oncological outcomes - Vidya Bhushan R - St. Johns Medical College

Traditionally, Infratemporal fossa clearance in head and neck cancer surgery necessitates a lip-split/facial incision and Posterior segmental mandibulectomy/mandibulotomy (angle/para-median) approach for adequate exposure. This is because the pterygoid base cut is near-impossible with an intact mandible, and if blindly done, middle cranial fossa may be breached. This approach also has inherent risks of significant morbidity to the patient (unsightly facial scar, infection/exposure of plate at osteotomy site, osteo-radio necrosis, loss of sensation over mentum, facial deformity). Our aim is to describe the utility of transnasal endoscopic assisted approach to infra-temporal fossa clearance in patients with head and neck cancer.

Bladder cancer (BC) is one of the most common cancers, accounting for 3% of all malignant tumours1. Radical cystectomy (RC) is considered to be the accepted gold standard treatment for patients with localized (T2-T4a) muscle-invasive bladder cancer (MIBC) or recurrent high-risk non-MIBC2.

Author(s): Vidya Bhushan R

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