title: [The lateral approach to the base of the skull (author's transl)].
abstract: Report on 15-years personal experience in surgery of the transmandibular approach. 20 benign and 10 malignant tumors of primary location in the retromaxillary region had been operated by total removal: 7 pleomorphic adenomas arising from aberrant salivary glands, 3 neurofibromas, 1 neuroma, 1 gangliocytoneuroma, 1 hemangiopericytoma, 2 extracranial located meningeomas, 3 lipomas. Only in case of lipomas splitting of the mandible could be avoided. Malignant tumors had been managed by excisional surgery of 3 malignant pleomorphic adenomas, 4 adenoid-cystic carcinomas. Only biopsy had been achieved of 3 sarcomas. For diagnosis careful clinical examination including Eustachian tube function test, X-ray tomograms and angiography are very helpful.
mesh_terms: D000236:Adenoma / Q000601:surgery; D003390:Cranial Nerve Neoplasms / Q000601:surgery; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008067:Lipoma / Q000601:surgery; D008334:Mandible / Q000601:surgery; D008437:Maxilla / Q000601:surgery; D008577:Meningeal Neoplasms / Q000601:surgery; D008579:Meningioma / Q000601:surgery; D009463:Neuroma / Q000601:surgery; D012468:Salivary Gland Neoplasms / Q000601:surgery; D014276:Trigeminal Nerve / Q000601:surgery
vernacular_title: Der laterale Operationszugang zur Schädelbasis. Darstellung des transmandibulären Zuganges zur Schädelbasis bei Prozessen der lateralen Schädelbasis und des retromaxillären Weges.