Tumores de Fosa Pterigopalatina: Tipos de abordajes quirúrgicos y complicaciones.

  • Carlos Fernando Ríos Deidan HOSPITAL DE ESPECIALIDADES CARLOS ANDRADE MARÍN
  • Karen Sofía Flores Mena HOSPITAL DE ESPECIALIDADES CARLOS ANDRADE MARÍN
  • Tamara Michelle Acosta Castillo Hospital Eugenio Espejo
  • Diego Javier Carpio Pullopasig HOSPITAL DE ESPECIALIDADES CARLOS ANDRADE MARÍN
  • Karla Paola Quisiguiña Sánchez HOSPITAL DE ESPECIALIDADES CARLOS ANDRADE MARÍN
  • Juan Esteban Serrano Sáenz Hospital Eugenio Espejo
  • María Mercedes Narváez Black HOSPITAL DE ESPECIALIDADES CARLOS ANDRADE MARÍN
Palabras clave: Fosa Pterigopalatina, Neoplasias Nasales, Angiofibroma, Obstrucción Nasal, Procedimientos Quirúrgicos Nasales, Cirugía Endoscópica por Orificios Naturales

Resumen

INTRODUCCIÓN. La fosa pterigopalatina es una zona anatómica de difícil acceso, que al presentar masas tumorales genera un alto riesgo de morbimortalidad en población juvenil y adulta, que precisa determinar las complicaciones asociadas a cirugía. OBJETIVO. Evaluar los tipos de abordaje quirúrgico, complicaciones e identificar la estirpe histológica de los tumores de fosa pterigopalatina. MATERIALES Y MÉTODOS. Estudio transversal retrospectivo. Población y muestra conocida de 29 Historias Clínicas de pacientes con hallazgos de imagen e histopatológico de tumores con invasión a fosa pterigopalatina divididos en dos grupos: A) resección de masa tumoral y B) biopsia de masa tumoral, operados en el Hospital de Especialidades Carlos Andrade Marín en el período de enero 2017 a diciembre de 2020. RESULTADOS. El 82,76% (24; 29) fueron
hombres, con promedio de edad de 30,6 años. El 82,76% (24; 29) de las masas tumorales se originaron en nasofaringe; no se reportaron casos primarios. El tumor más frecuente fue el Angiofibroma Nasofaringeo Juvenil 68,97% (20; 29), seguido por los tumores malignos con el 20,69% (6; 29), siendo usual el carcinoma adenoideo quístico. En el 62,07% (18; 29) el tumor invadió Fosa Infratemporal y en el 44,83% (13; 29) hacia esfenoides. En el grupo A, el abordaje quirúrgico empleado en el 20,83% (5; 24) fue mediante técnica abierta y en el 79,17% (19; 24) con técnica endoscópica, tanto uni 31,58% (6; 19) como multiportal 68,42% (13; 19). La complicación fue la hiposensibilidad facial en el 12,5% (3; 24), todos en abordajes abiertos. CONCLUSIÓN. Se
evaluó los tipos abordaje quirúrgico y se identificó la estirpe histológica de los tumores de fosa pterigopalatina.

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Publicado
2021-09-29
Cómo citar
Ríos Deidan, C., Flores Mena, K., Acosta Castillo, T., Carpio Pullopasig, D., Quisiguiña Sánchez, K., Serrano Sáenz, J., & Narváez Black, M. (2021). Tumores de Fosa Pterigopalatina: Tipos de abordajes quirúrgicos y complicaciones. Revista Médica-Científica CAMbios HECAM, 20(1), 53-59. https://doi.org/10.36015/cambios.v20.n1.2021.632
Sección
Estudio Original: Estudios Observacionales

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