We report on the case of an epidermoid cyst of the pterygopalatine fossa, which we operated on via the endoscopic transnasal approach, only the second one in the world to the best of our knowledge. A 67-year-old woman had discomfort in her left jaw when biting. MRI findings taken two years after the first medical examination showed that the cyst had gradually grown larger. In addition she started to show a symptoms of ipsilateral otitis media with effusion (OME). After the surgery the OME improved. There is a possibility that the OME had something to do with the compression of the cyst. The endoscopic transnasal approach is a safe, effective and less invasive therapeutic modality for treatment of cysts in the pterygopalatine fossa.
- Endoscopic transnasal approach
- Epidermoid cyst
- Pterygopalatine fossa
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