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Endoscopic Endonasal Surgery for a Pterygopalatine Fossa Hydatid Cyst

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Abstract

Background

Cystic echinococcosis is a manifestation of a zoonosis caused by larvae of the tapeworm Echinococcus granulosus sensu lato and pterygopalatine fossa cases are extremely rare.

Clinical Presentation and Findings

A 45-year-old Caucasian female with a history of repeated surgeries for HC was referred to our center for treatment of a cystic mass of the pterygopalatine fossa. Multiorgan dissemination was noted on preoperative imaging.

Interventions

An endonasal endoscopic procedure was carried over under general anesthesia and the CE completely removed. Etiology was confirmed by molecular diagnostics. Three weeks after the skull base procedure, the patient underwent a combined abdominal/urological procedure for treatment of other cysts.

Conclusion

This case shows that the pterygopalatine fossa HC are amenable to surgical treatment using the endonasal endoscopic approach. Extensive preoperative workup is essential to assess the extent of the disease.

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Author information

Authors and Affiliations

  1. Department of Neurosurgery, Clinical Hospital Center Zagreb, University of Zagreb School of Medicine, Zagreb, Croatia

    Vjerislav Peterković, Hrvoje Barić & Niko Njirić

  2. Department of Otorhinolaryngology, Clinical Hospital Center Zagreb, University of Zagreb School of Medicine, Zagreb, Croatia

    Marcel Marjanović Kavanagh

  3. University Hospital for Infectious Diseases “Dr. Fran Mihaljević”, Zagreb, Croatia

    Mirjana Balen-Topić & Klaudija Višković

  4. Department of Bacteriology and Parasitology, Croatian Veterinary Institute, Zagreb, Croatia

    Relja Beck

Authors
  1. Vjerislav Peterković
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  2. Marcel Marjanović Kavanagh
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  3. Hrvoje Barić
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  4. Niko Njirić
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  5. Mirjana Balen-Topić
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  6. Relja Beck
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  7. Klaudija Višković
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Corresponding author

Correspondence to Hrvoje Barić.

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Peterković, V., Marjanović Kavanagh, M., Barić, H. et al. Endoscopic Endonasal Surgery for a Pterygopalatine Fossa Hydatid Cyst. J. Maxillofac. Oral Surg. 21, 93–98 (2022). https://doi.org/10.1007/s12663-021-01545-w

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  • DOI: https://doi.org/10.1007/s12663-021-01545-w

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