Primary study of diagnosis and treatment of huge petrous apex cholesteatoma (clinical analysis of 2 cases) / 临床耳鼻咽喉头颈外科杂志
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
; (24): 734-742, 2009.
Article
in Zh
| WPRIM
| ID: wpr-748645
Responsible library:
WPRO
ABSTRACT
OBJECTIVE@#To investigate the clinical features, operative approach and method of petrous apex cholesteatoma, to improve the effect of operation and to reduce surgical complications.@*METHOD@#Two cases of patients with giant petrous apex cholesteatoma were treated by trans labyrinth approach, one of which was successfully operated with oto-endoscope-assisted surgery.@*RESULT@#No cerebrospinal fluid leakage, infection, vertigo or disequilibrium was found in the two cases after operation.@*CONCLUSION@#Temporal CT and MRI are of great importance in clinical diagnosis and choice of surgical approach. Surgery by trans-labyrinth approach paves way for removing cholesteatoma thoroughly, dealing with facial nerve and repairing cerebrospinal fluid leakage. Surgery is considered to be the only way to cure petrous apex cholesteatoma, while the key procedure to prevent recurrence lies in complete removal of lesion, long-time strict follow up and regular clearance of the surgical field.
Full text:
1
Index:
WPRIM
Main subject:
Pathology
/
Petrous Bone
/
General Surgery
/
Diagnostic Imaging
/
Magnetic Resonance Imaging
/
Tomography, X-Ray Computed
/
Cholesteatoma
/
Diagnosis
/
Endoscopy
Type of study:
Diagnostic_studies
Limits:
Female
/
Humans
Language:
Zh
Journal:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
Year:
2009
Type:
Article