is a potential space bounded superiorly by the temporal bone and the greater wing of the sphenoid bone; medially by the superior constrictor muscle, the pharyngobasilar fascia, and the pterygoid plates; laterally by the zygoma, mandible, parotid gland, and masseter muscle; anteriorly, by the pterygoid muscles; and posteriorly by the articular tubercle of the temporal bone, glenoid fossa, and styloid process. It is a significant crossroads for neurovascular structures that traverse to and from the brain and brain stem
An ITF approach is a complex procedure that involves significant time, effort, and cost; therefore, under most circumstances, one must consider the procedure only as part of a curative therapeutic plan. . It may provide the access required for the resection of a tumor, or it may be adjunctive to other approaches, such as transcranial-subtemporal, Le Fort I, transmaxillary, or anterior subfrontal approaches.
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