petrous apex lesions outcome in 21 cases
نویسندگان
چکیده
petrous apex lesions of temporal bone progress slowly. most of the time not only destruct this area but also involve neighbouring element. the symptoms of the neighbouring neuro-vasculare involvement we can recognize these lesions. the most common symptoms of involvement of the petrous apex are: headache, conductive hearing loss or sensorineural type, paresthesia and anesthesia of the trigeminal nerve, paresia and paralysis of the facial nerve, abducent nerve. in retrospective study which has been in the ent and hns wards of amiralam hospital, 148 patients have been operated due to temporal bone tumor from these numbers, 21 (13.6%) patients had petrous apex lesions of temporal bone. eleven (52.9%) patients of these 21 persons were men and the remaining 10 (47-6%) were women. the average age of the patients was 37 years. the common pathology of these patients were glomus jugulare tumors, hemangioma, schwannoma, meningioma, congenital cholesteatoma, giant cell granuloma. the kind of operations that have been done on these patients were: infratemporal, translabyrinthine and middle fossa approaches. the conclusion of this study shows that petrous apex area is an occult site. the symptoms of this lesion are not characteristic, meticulous attention to the history and physical examination are very helpful to recognition of these lesions and it's extention.
منابع مشابه
Petrous Apex Lesions
Situated lateral and adjacent to clivus. Petrous apex bisected by Internal auditory canal in coronal plane Anteriorly into peritubal area and posteriorly into perilabrynthine area. Anterior to the internal auditory meatus that is wedged between the posterior border of the greater wing of the sphenoid and the basilar part of the occipital bones Its borders and boundaries are marked by major bloo...
متن کامل'Leave me alone' lesions of the petrous apex.
PURPOSE When troublesome MR imaging findings are noted in the petrous apex, the radiologist must determine if the area in question needs surgical therapy. Two nonsurgical entities, asymmetric fatty marrow and fluid-filled petrous air cells (trapped fluid), can be noted on conventional brain MR images and confused with pathologic lesions. Our observation that radiologists do not always confident...
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BACKGROUND AND PURPOSE Petrous apex cephaloceles (PACs) are uncommon lesions that are usually incidental but may be symptomatic. We reviewed MR and CT studies in 10 patients with PACs to identify characteristic imaging features that facilitate their diagnosis. METHODS MR and CT studies from 10 patients with PACs were reviewed retrospectively. In each case the PAC was characterized by lesion c...
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Pneumatization of the petrous apex was investigated in 226 subjects without middle ear disease by means of target imaging CT. The degree of pneumatization of all subjects was 32.7% (148/452 ears), but no difference in degree was revealed with distinction of bilateral ears or between sexes. In 148 ears with pneumatization of the petrous apex, a higher degree of pneumatization was found in larger...
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Copyright @ 2015 Authors. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original author and source are properly cited. Julius July,1 Eka J. Wahjoepramon...
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عنوان ژورنال:
مجله دانشکده پزشکی دانشگاه علوم پزشکی تهرانجلد ۵۵، شماره ۶، صفحات ۱۰۹-۱۱۵
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