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Article
September 1948

NECROSIS WITHIN THE PTERYGOPALATINE FOSSA: Operation and Recovery

Author Affiliations

PITTSBURGH
From the Department of Otolaryngology, University of Pittsburgh.

Arch Otolaryngol. 1948;48(3):337-343. doi:10.1001/archotol.1948.00690040348005
Abstract

THE PTERYGOPALATINE fossa is of importance to the rhinolaryngologist; yet seemingly few men have a thorough understanding of it, and fewer still have been interested enough or challenged enough to make contributions to the literature concerning it. Pathologic conditions arising in this fossa occur rarely; at least reports in the journals would so indicate. However, many cases have undoubtedly gone unrecognized and ended fatally, with a terminal diagnosis of some intracranial condition. As yet no definite syndrome has been established which would direct attention to pathologic conditions in this region. Much confusion still exists as to the nomenclature.

A number of the older textbooks have referred to this fossa as the sphenomaxillary, the pterygomaxillary and the sphenopalatine, but after investigating articles by Gray,1 Piersol,2 Turner and co-workers,3 Barnhill and Mellinger,4 Jackson and Jackson,5 Lederer,6 Cunningham7 and others, and after carefully examining numerous specimens in the dissecting laboratory, I have come

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