International Journal of Head and Neck Surgery

Register      Login

VOLUME 2 , ISSUE 3 ( September-December, 2011 ) > List of Articles


Diagnostic and Surgical Challenge in the Management of a Rare Tumor of Skull Base and Face

K Senthil, A Ravi Kumar, Prasanna Kumar Saravanam

Citation Information : Senthil K, Kumar AR, Saravanam PK. Diagnostic and Surgical Challenge in the Management of a Rare Tumor of Skull Base and Face. Int J Head Neck Surg 2011; 2 (3):148-150.

DOI: 10.5005/jp-journals-10001-1072

Published Online: 01-04-2013

Copyright Statement:  Copyright © 2011; The Author(s).



We report a rare case of lateral skull base hamartoma. The diagnostic dilemma, the therapeutic challenge and the importance of interdisciplinary approach to decrease the morbidity has been discussed.


We report a rare case of a 48-year-old male with swelling over the left side of face and cheek for a duration of 12 years, who presented to us only for his cosmetic deformity and no functional impairment, after a thorough clinical examination and series of invasive and noninvasive investigations, was diagnosed to have a rare tumor hamartoma of skull base and face. A complete surgical excision without morbidity was made possible only by a multidisciplinary team approach. The investigation and surgical approach to reduce per operative morbidity has been discussed. Microscopic examination of the excised specimen with special staining techniques was conclusive for hamartoma. Patient has been on a regular follow-up for the last 2 years with no evidence of recurrence and functional compromise.


The rarity of the tumor, the difficulty in diagnosis, management and prognosis of hamartoma have been discussed.


Hamartoma of the infratemporal fossa is a rare tumor and those originating in this surgically challenging site are even rarer. Further their close proximity to vital structures in head and neck poses a formidable challenge in their diagnosis and surgical management to achieve a good cosmetic and functional result.

PDF Share
  1. Schwannoma limited to the infratemporal fossa: Report of two cases. J Neurooncol 1998;36:269-77.
  2. Laryngeal hamartoma. Acta Otolaryngol 2004;124:301-08.
  3. Tumors of infratemporal fossa. Arch Otolaryngol 1964;79:498-504.
  4. Hamartomas of the nose and nasopharynx. Head Neck 1992;14(4):321-27.
  5. Giant hamartoma of the retro and parapharyngeal region. Int J Pediatr Otorhinolaryngol 2004;68(4):511-15.
  6. Hamartoma of the hypopharynx. Arch Otolaryngol 1981;107:767-72.
  7. Hamartomas of the ear and nose. The J Laryngol Otol 1973;81:801-05.
  8. Hamartoma of the middle ear and Eustachian tube: Report of a case. Laryngoscope 1966;76:1810-15.
  9. Respiratory epithelial adenomatoid hamartoma in the nasopharynx. The J Laryngol Otol 2005;119:476-78.
  10. Surgery of cranial base tumors. NY: Raven Press 1993:157-223.
  11. Recurrent lymphovascular hamartoma of the neck spaces. The Internet Journal of Head and Neck Surgery 2007;1(1).
  12. Tumors of the infratemporal fossa. Skull base surgery 2000;10(1):01-09.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.