Surgical treatment for markedly advanced petrous apex cholesteatoma via the translabyrinthine and trans-sphenoidal approach
نویسندگان
چکیده
منابع مشابه
[Dilemma in surgical treatment of petrous cholesteatoma].
Surgical treatment of petrous cholesteatoma that involves the petrous pyramid and extends beyond the internal auditory canal is often difficult because of the site and extent of the cholesteatoma. Various problems pertaining to the operation are discussed from our experience with fourteen patients who underwent surgery in our hospital. When accompanied with otorrhea, the middle ear was eradicat...
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We report a case of a petrous apex cholesteatoma which was managed with a wholly endoscopic permeatal approach. A 63-year-old Caucasian male presented with a 10-year history of right-sided facial palsy and profound deafness. On examination in our clinic, the patient had a grade VI House-Brackmann paresis, otoscopic evidence of attic cholesteatoma behind an intact drum, and extensive scarring of...
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Trans-sphenoidal hypophysectomy was performed in 19 patients after the failure of antioestrogens and other methods of hormonal manipulation to control advanced breast cancer. Remission of symptoms was obtained in 12 patients (66.6%) for more than six months and in seven patients (36.8%) for more than 12 months. Two patients have survived 53 and 55 months without requiring further treatment.
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We report an uncommon case of a 45-year-old woman who presented with spontaneous rhinorrhea. A computed tomography (CT) scan of the head revealed an abnormally large sphenoid sinus associated with a parasellar bony defect (Sternberg's canal) through which magnetic resonance imaging could detect an encephalocele of the right temporal lobe. An endoscope-assisted trans-sphenoidal approach was perf...
متن کاملSurgical anatomy of the petrous apex and petroclival region.
Surgical exposure of the clivus, the ventral or lateral aspect of the brain stem, and all the intradural structures of the petroclival area remains difficult because of the presence of the petrous apex and peripetrous complex. However, a lateral skull base approach to the petroclival area is the most suitable approach if the lesion to be resected lies medial to the fifth nerve, in front of the ...
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ژورنال
عنوان ژورنال: The Journal of Laryngology & Otology
سال: 2016
ISSN: 0022-2151,1748-5460
DOI: 10.1017/s0022215116006393