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Many surgical approaches to JNA have been used, including the transpalatal approach, medial maxillectomy, midfacial degloving, LeFort I surgery, lateral rhinotomy, and the infratemporal fossa approach. 1) Head and neck sites reported in the literature include the nasal cavity, retropharynx, buccal mucosa, maxillary sinus, parapharyngeal space, larynx, thyroid, and infratemporal fossa. 3-6) Approximately 100 cases of malignant peripheral nerve sheath tumors of the head and neck have been reported, some of which involved the parotid and infratemporal fossa (table). |
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