J Neurol Surg Rep 2014; 75(01): e136-e140
DOI: 10.1055/s-0034-1376428
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Giant Cell Tumor of the Temporal Bone Invading into the Pterygoid Muscle through the Temporomandibular Joint

Aboshanif Mohamed
1   Departments of Otorhinolaryngology, Head and Neck Surgery, Akita Graduate School of Medicine, Akita, Japan
,
Kazuo Ishikawa
1   Departments of Otorhinolaryngology, Head and Neck Surgery, Akita Graduate School of Medicine, Akita, Japan
,
Eigo Omi
1   Departments of Otorhinolaryngology, Head and Neck Surgery, Akita Graduate School of Medicine, Akita, Japan
,
Kohei Honda
1   Departments of Otorhinolaryngology, Head and Neck Surgery, Akita Graduate School of Medicine, Akita, Japan
,
Shinsuke Suzuki
1   Departments of Otorhinolaryngology, Head and Neck Surgery, Akita Graduate School of Medicine, Akita, Japan
,
Teruyuki Sato
1   Departments of Otorhinolaryngology, Head and Neck Surgery, Akita Graduate School of Medicine, Akita, Japan
,
Naoko Fukui
1   Departments of Otorhinolaryngology, Head and Neck Surgery, Akita Graduate School of Medicine, Akita, Japan
,
Masataka Takahasi
2   Departments of Neurosurgery, Akita Graduate School of Medicine, Akita, Japan
› Author Affiliations
Further Information

Publication History

04 December 2013

26 March 2014

Publication Date:
28 May 2014 (online)

Abstract

We report a case of giant cell tumor of the temporal bone invading into the pterygoid muscle through the temporomandibular joint. The patient was a 43-year-old woman who developed left ear fullness 2 years earlier with a mass in the external auditory canal. Radiologic evaluation revealed extension into the infratemporal fossa and confirmed that the tumor was invading into pterygoid muscle. A middle cranial fossa approach along with tympanoplasty was used for total resection of the tumor. Once a tumor invades into muscle tissue, meticulous care is required to remove it because identification of tumor tissue becomes extremely difficult.

 
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