Middle Turbinate Preservation Technique During Transpterygoid Approaches for Skull Base Surgery.

Renteria, Axel E; Fieux, Maxime; Silva, Bruna Castro; Levi, Lirit; Azevedo, Alyssa; Chang, Michael T; Fernandez-Miranda, Juan Carlos; Nayak, Jayakar V · Laryngoscope · 2026

case_series · Level IV

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Abstract

The expanded endonasal approach (EEA) to resect skull base lesions has classically included the resection of one or both middle turbinates (MT). Here, we describe for the first time a technique that spares the MT entitled middle turbinate release with preservation (MTRP) that can give an alternative and feasible approach to skull base surgeons that wish to maintain this endonasal landmark.

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