Microscopic and endoscopic transsphenoidal approach to petrous apex cholesterol granuloma: Case report

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Endoscopic transrostral- transsphenoidal approach to petrous apex cholesterol granuloma: case report.

Cholesterol granuloma (CG) of the petrous apex is an inflammatory reaction to the by-products of eroded marrow cavities secondary to chronic obstruction of air cells within the petrous pyramid. We report a case of cholesterol granuloma in the left petrous bone occurring in a 28-year-old woman with an unusual presentation. The woman presented with a 6-month history of intermittent left hemicrani...

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CASE REPORT Lobulated Petrous Apex Cholesterol Granuloma Treated with Infracochlear and Transsphenoidal Approaches

404 Petrous apex cholesterol granulomas are relatively rare lesions. They are usually unilocular and treated with simple fenestration. However, lobulated lesions require total removal of debris inside the cysts. Herein, we report a first case with a lobulated petrous apex cholesterol granuloma. The lesion extended from cerebello-pontine angel to the clivus. It was lobulated and contained debris...

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Cholesterol Granuloma In The Petrous Apex : A Case Report

A-72-year-old man admitted with the complaint of mild right facial numbness and headache. His neurological examination revealed facial paresthesia on the right over the distribution of second division of the trigeminal nerve. Computed tomographic and magnetic resonance imaging showed an expansive lesion in the right petrous apex. The patient underwent surgery via right suboccipital retrosigmoid...

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Endoscopic transsphenoidal surgery for cholesterol granulomas involving the petrous apex.

Surgery for cholesterol granulomas involving the petrous apex has traditionally been performed via a lateral skull base approach. We present a case-series of four cholesterol granulomas treated through the endoscopic-transsphenoid approach over the last 10 years. Drainage was successful and symptomatic improvement was obtained in all cases (follow-up 6 months-10 years). Primary 'sphenoid' lesio...

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First stage in predicative measure for transnasal transsphenoidal approach to petrous apex cholesterol granuloma.

OBJECTIVES/HYPOTHESIS This study evaluates the feasibility of the transsphenoidal approach to petrous apex cholesterol granuloma based on the petrous angle. This is the angle centered at the vomer, extending between the medial aspect of the C3 segment of the internal carotid artery and the occipital protuberance. The aim of this study is to determine the average petrous angle in a population of...

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ژورنال

عنوان ژورنال: Egyptian Journal of Ear, Nose, Throat and Allied Sciences

سال: 2012

ISSN: 2090-0740

DOI: 10.1016/j.ejenta.2012.10.001