Endoscopic Endonasal Resection of Cholesterol Granuloma of the Petrous Apex

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Endoscopic Endonasal Resection of Cholesterol Granuloma of the Petrous Apex

A 43years old man presented with 6 month history of intermittent right hemicranial headache and ipsilateral conductive hearingloss. The patient had no historyof head trauma. The MRI demonstrated a large and expansile right petrous apex lesion hyper intense on both T1and T2-weighted scans, without diffusion restriction or internal contrast enhancement. The CT scan showed and expansile and lyticl...

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Endoscopic Endonasal Management of Recurrent Petrous Apex Cholesterol Granuloma

Introduction Petrous apex cholesterol granulomas (PACGs) are uncommon lesions. Recurrence following transcranial or endonasal approaches to aerate the cyst occurs in up to 60% of cases. We describe the technical nuances pertinent to the endonasal endoscopic management of a recurrent symptomatic PACG and review the literature. Results A 19-year-old woman presented with a recurrent abducens nerve...

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Giant Cholesterol Granuloma of the Petrous Apex: Endoscopic Management

Submit Manuscript | http://medcraveonline.com characterized for having a cystic pattern containing cholesterol crystals that are usually surrounded by foreign body giant cells. Their growing pattern is very variable and it is related to the frequency and severity of the micro hemorrhages happening within. It can be found in different locations in the temporal bone such as in the petrous apex (P...

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A case of petrous apex cholesterol granuloma successfully treated with endoscopic endonasal surgery.

A transcranial approach in combination with a transpetrosal setting has been the mainstream of surgical treatment of cholesterol granulomas in the petrous apex. However, endoscopic endonasal surgery has become a choice of treatment for these lesions with recent advancements in surgical techniques and instruments. We report a successful case of cholesterol granuloma managed with endoscopic endon...

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Endoscopic-assisted transmastoid decompression of petrous apex cholesterol granuloma.

INTRODUCTION Cholesterol granuloma is one of the most common abnormalities of the petrous apex. It is a benign slowgrowing expanding cystic mass that contains fluid, lipid, and cholesterol crystals and is surrounded by a fibrous lining. The granuloma arises from a pneumatized petrous apex that becomes obstructed. It most commonly arises from the central petrous apex; however, it has been found ...

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ژورنال

عنوان ژورنال: Journal of Otolaryngology-ENT Research

سال: 2017

ISSN: 2379-6359

DOI: 10.15406/joentr.2017.07.00225