Abstract
Petröz apeks, önemli yapılara yakınlığı sebebiyle temporal kemiğin oldukça kompleks bir bölgesidir. Petröz apeksin kolesteatomları nadir görülür ve genellikle doğumsaldır. Bu lezyonlar teşhis konmadan önce genellikle labirent ve/veya fasiyal kanala yayılırlar. Bununla birlikte klinik bulgular nonspesifiktir ve teşhis bu sebeple gecikebilmektedir. Petröz apeks kolesteatom cerrahisi oldukça zordur. Lezyonun temizlenmesi için çeşitli cerrahi yaklaşım teknikleri bildirilmiştir. Bu makalede geç teşhis konan ve modifiye transkoklear yaklaşımla tedavi edilen bir doğumsal petröz apeks kolesteatomu olgusu sunuldu.
Keywords
References
- Isaacson B, Kutz JW, Roland PS. Lesions of the petrous apex: diagnosis and management. Otolaryngol Clin North Am 2007;40(3):479-519.
- Magliulo G. Petrous bone cholesteatoma: clinical longitudi- nal study. Eur Arch Otorhinolaryngol 2007;264(2):115-20.
- Sanna M, Zini C, Gamoletti R, et al. Petrous bone cholestea- toma. Skull Base Surg 1993;3(4):201-13.
- Moffat D, Jones S, Smith W. Petrous temporal bone choles- teatoma: a new classification and long-term surgical out- comes. Skull Base 2008;18(2):107-15.
- Magliulo G, Terranova G, Sepe C, Cordeschi S, Cristofar P. Petrous bone cholesteatoma and facial paralysis. Clin Oto- laryngol Allied Sci 1998;23(3):253-8.
- Burggraaff B, Luxford WM, Doyle KJ. Neurotologic treat- ment of acquired cholesteatoma. Am J Otol 1995;16(4):480- 5.
- Song JJ, An YH, Ahn SH, et al. Surgical management options and postoperative functional outcomes of petrous apex cho- lesteatoma. Acta Otolaryngol 2011;131(11):1142-9.
- Kojima H, Tanaka Y, Shiwa M, et al. Congenital cholesteato- ma clinical features and surgical results. Am J Otolaryngol 2006;27(5):299-305.
- McGill TJ, Merchant S, Healy GB, et al. Congenital choles- teatoma of the middle ear in children: a clinical and his- topathological report. Laryngoscope 1991;101(6):606-13.
- Ensari S, Kaymakçı M, Çelikkanat S, Turgut S, Özdem C. Petröz apeks kolesteatomlarina modifiye transkoh- lear yaklaşim. K.B.B. ve Baş Boyun Cerrahisi Dergisi 1997;5(1):13-6.
Abstract
The petrous apex is a complex region of temporal bone due to its close proximity to vital structures. Cholesteatoma in the petrous apex is rarely encountered, and most cases are congenital. These lesions often invade the labyrinth and facial canal before they are diagnosed. However, clinical findings are nonspecific and diagnosis may be delayed. Moreover, surgery of petrous apex cholesteatoma is extremely difficult. Several approaches have been reported for removal. In this article, a case of congenital petrous apex cholesteatoma with delayed diagnosis who treated with modified transcochlear approach was presented.
Keywords
References
- Isaacson B, Kutz JW, Roland PS. Lesions of the petrous apex: diagnosis and management. Otolaryngol Clin North Am 2007;40(3):479-519.
- Magliulo G. Petrous bone cholesteatoma: clinical longitudi- nal study. Eur Arch Otorhinolaryngol 2007;264(2):115-20.
- Sanna M, Zini C, Gamoletti R, et al. Petrous bone cholestea- toma. Skull Base Surg 1993;3(4):201-13.
- Moffat D, Jones S, Smith W. Petrous temporal bone choles- teatoma: a new classification and long-term surgical out- comes. Skull Base 2008;18(2):107-15.
- Magliulo G, Terranova G, Sepe C, Cordeschi S, Cristofar P. Petrous bone cholesteatoma and facial paralysis. Clin Oto- laryngol Allied Sci 1998;23(3):253-8.
- Burggraaff B, Luxford WM, Doyle KJ. Neurotologic treat- ment of acquired cholesteatoma. Am J Otol 1995;16(4):480- 5.
- Song JJ, An YH, Ahn SH, et al. Surgical management options and postoperative functional outcomes of petrous apex cho- lesteatoma. Acta Otolaryngol 2011;131(11):1142-9.
- Kojima H, Tanaka Y, Shiwa M, et al. Congenital cholesteato- ma clinical features and surgical results. Am J Otolaryngol 2006;27(5):299-305.
- McGill TJ, Merchant S, Healy GB, et al. Congenital choles- teatoma of the middle ear in children: a clinical and his- topathological report. Laryngoscope 1991;101(6):606-13.
- Ensari S, Kaymakçı M, Çelikkanat S, Turgut S, Özdem C. Petröz apeks kolesteatomlarina modifiye transkoh- lear yaklaşim. K.B.B. ve Baş Boyun Cerrahisi Dergisi 1997;5(1):13-6.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Reports |
| Authors | |
| Publication Date | June 1, 2012 |
| Submission Date | March 2, 2015 |
| Published in Issue | Year 2012 Volume: 39 Issue: 2 |