title: Image guided transoral approach to the pterygopalatine fossa.
abstract: OBJECTIVE
  We present a transoral approach using image guidance to approach inferiorly based lesions of the pterygopalatine fossa.
  
  
  METHODS
  Case report.
  
  
  METHODS
  A 49-year-old male presenting with a benign cyst of the inferior pterygopalatine fossa. The presentation, workup, and management are discussed.
  
  
  RESULTS
  The patient underwent a computed tomography scan that confirmed the location of the lesion in the left pterygopalatine fossa. An image guidance system was used to effect a complete transoral resection of the benign cyst.
  
  
  CONCLUSIONS
  Benign lesions of the pterygopalatine fossa may be successfully accessed using a transoral approach with image guidance, which minimizes postoperative morbidity.
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA. benjamin.bleier@uphs.upenn.edu
authors.forename: Benjamin Saul
authors.initials: BS
authors.lastname: Bleier
authors.forename: Natasha
authors.initials: N
authors.lastname: Mirza
mesh_terms: D035301:Cranial Fossa, Middle / Q000601:surgery; D020420:Cyst Fluid; D003560:Cysts / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D021362:Palate, Hard / Q000601:surgery*; D012008:Recurrence; D013100:Sphenoid Bone / Q000601:surgery*; D013492:Suppuration; D025321:Surgery, Computer-Assisted; D013701:Temporal Bone / Q000601:surgery*; D014057:Tomography, X-Ray Computed