Facial Nerve Outcomes After Infratemporal Fossa Approach Type A With Anterior Rerouting for Class C-D Tympanojugular Paragangliomas Removal: Analysis From a Quaternary Referral Center
The main goal of TJP treatment is complete tumor removal, especially in young patients with a higher expected lifespan. IFTA is an appropriate approach for the resection of class C-D TJPs. With anterior rerouting of the facial nerve, adequate exposure to the jugular foramen, infralabyrinthine areas, and intratemporal internal carotid artery minimizes morbidity and avoids mortality. Postoperative facial asymmetry, mostly of recovery to grade I-II and III, is the price paid to achieve a higher total tumor resection rate and a lower rate of recurrence and complications.
Authors
- Lorenzo Lauda
- Giuseppe Fancello (ORCID: https://orcid.org/0009-0002-2837-2941)
- Virginia Fancello (ORCID: https://orcid.org/0000-0002-3290-8983)
- Janina Becherescu
- Francesca Gaino (ORCID: https://orcid.org/0000-0001-5670-0848)
- Jianming Yang (ORCID: https://orcid.org/0000-0002-2996-399X)
- Melcol Hailu Yilala (ORCID: https://orcid.org/0000-0002-0452-5176)
- Yi Sun (ORCID: https://orcid.org/0000-0001-5649-8862)
- Mario Sanna
Institutions
- Humanitas University (IT)
- Anhui Medical University (CN)
- University of Ferrara (IT)
- North American Skull Base Society (US)
- Emergency University (US)
- Azienda Ospedaliero Universitaria di Sassari (IT)
- Azienda Ospedaliero-Universitaria Careggi (IT)
- Second Affiliated Hospital of Anhui Medical University (CN)
- IRCCS Humanitas Research Hospital (IT)
- Addis Ababa University (ET)
Publication Details
- Journal
- Otology & Neurotology
- Published
- 2025-12-19
- DOI
- https://doi.org/10.1097/mao.0000000000004743
- Primary Topic
- Meningioma and schwannoma management
- Type
- article
- Field-Weighted Citation Impact
- 0.00