Infratemporal fossa mass in pediatric patients: an unusual occurrence

Main Article Content

Vannipa Vathanophas
Choakchai Metheetrairut
Jassada Buaboonnam

Abstract

Abstract



The infratemporal fossa is a specific anatomic region situated deep to the ramus of the mandible.
Neoplasms in this clinically silent area may reach considerable size before producing symptoms or
becoming evidence. Fibromatosis is a benign fibrous neoplasm originating from musculoaponeurotic
structures throughout the body. Infratemporal fibromatosis, however, is uncommon in pediatric
patients. We reported a case of the infratemporal infantile fibromatosis (IF) in a two-year-old
boy presenting with progressive left cheek mass extended to the zygomatic arch. Radiological
investigation revealed a well circumscribed soft tissue mass compressing the left posteriolateral
wall of the maxillary sinus. He underwent tissue biopsy, which confirmed the diagnosis of IF,
followed by complete surgery namely transoral wide excision combined with Gillies technique. At
two-month follow- up he attained complete remission. Long term follow-up with complete clinical
examination and serial imaging study are required.



Keywords: Infratemporal fossa mass; pediatric

Article Details

How to Cite
Vathanophas, . V., Metheetrairut, C. ., & Buaboonnam, J. . (2023). Infratemporal fossa mass in pediatric patients: an unusual occurrence. Thai Journal of Otolaryngology Head and Neck Surgery, 24(1). Retrieved from https://he02.tci-thaijo.org/index.php/rcotJ/article/view/264027
Section
Case Report

References

References

Munnangi A, Kadapathri A, Pillai V, et al. Isolated Infratemporal Fossa Desmoid

Fibromatosis: A Rare Case Report and Review of Literature. Indian J Otolaryngol Head Neck Surg.

;74(Suppl 2):2609-13.

He Y, Wang J, Zhang Z, et al. Solitary neurofibroma arising from the infratemporal fossa in

a child. J Pediatr Surg. 2011;46(7):E13-6.

Meng J, Zhuang Q, Tian Z, et al. Infantile fibromatosis of the pterygomandibular space. J

Craniofac Surg. 2012;23(6):e542-4.

Bin-Alamer O, Bhenderu LS, Palmisciano P, et al. Tumors Involving the Infratemporal

Fossa: A Systematic Review of Clinical Characteristics and Treatment Outcomes. Cancers (Basel).

;14(21).

Ahmed H, Al-Salem. Infantile Fibromatosis and Myofibromatosis. An Illustrated Guide to

Pediatric Surgery. Heidelberg New York Dordrecht London: Springe; 2014. p. 57-61.

Tolan S, Shanks JH, Loh MY, et al. Fibromatosis: benign by name but not necessarily by nature.

Clin Oncol (R Coll Radiol). 2007;19(5):319-26.

Paul A, Blouin MJ, Minard-Colin V, et al. Desmoid-type fibromatosis of the head and neck in children: A changing

situation. Int J Pediatr Otorhinolaryngol. 2019;123:33-7.

Gupta AK, Singh I, Mann SB, et al. Schwannoma of infratemporal fossa in a young child. Indian J

Pediatr. 1997;64(1):108-11.

Pontes HA, Pontes FS, e Silva BT, et al. Congenital infantile fibromatosis of the cheek: report

of a rare case and differential diagnosis. Int J Oral Maxillofac Surg. 2011;40(11):1309-13.

Nuyttens JJ, Rust PF, Thomas CR, Jr., et al. Surgery versus radiation therapy for patients with

aggressive fibromatosis or desmoid tumors: A comparative review of 22 articles. Cancer.

;88(7):1517-23.

Schulz-Ertner D, Zierhut D, Mende U, et al. The role of radiation therapy in the management of

desmoid tumors.Strahlenther Onkol. 2002;178(2):78-83.