RESUMEN
PROBLEM: Giant cell granuloma (GCG) is a rare nonneoplastic bone lesion that occurs mostly in the jawbones; few cases arise in the remainder of the skull, including the temporal bone. Previously, giant cell lesions of the temporal bone were regarded as giant cell tumours (GCT). The importance of distinguishing GCG from GCT lies in the presumed difference in prognosis; GCTs have higher rates of recurrence, metastasis, and malignant transformation. METHODOLOGY: We describe the case of a 12-year-old child with temporal bone GCG extending to the middle cranial fossa. The patient underwent a subtotal petrosectomy via retroauricular approach, associated with resection of the zygomatic process. RESULTS: No evidence of recurrence was found 36 months later. CONCLUSION: The diagnosis of GCG was based on clinical history, histology, imaging, and response to treatment. The patient was treated with the standard surgical approach, and has a good outcome at three years follow-up.
Asunto(s)
Enfermedades Óseas/diagnóstico , Granuloma de Células Gigantes/diagnóstico , Hueso Temporal , Audiometría de Tonos Puros , Conducción Ósea , Enfermedades Óseas/diagnóstico por imagen , Enfermedades Óseas/fisiopatología , Enfermedades Óseas/cirugía , Niño , Diagnóstico Diferencial , Tumor Óseo de Células Gigantes/diagnóstico , Granuloma de Células Gigantes/diagnóstico por imagen , Granuloma de Células Gigantes/fisiopatología , Granuloma de Células Gigantes/cirugía , Pérdida Auditiva Conductiva/etiología , Humanos , Imagen por Resonancia Magnética , Masculino , Hueso Petroso/cirugía , Hueso Temporal/diagnóstico por imagen , Tomografía Computarizada por Rayos XRESUMEN
OBJECTIVE: To describe the clinical and radiological features of the vascular anomaly, aberrant internal carotid artery (ICA) in the temporal bone. METHODOLOGY: Case reports on two patients. RESULTS AND CONCLUSIONS: Aberrant ICA in the middle ear is a rare congenital abnormality usually identified on a computed tomographic scan before beginning middle ear surgery. Misdiagnosis may lead to serious surgical complications such as major bleeding, or even neurological deficit due to endovascular occlusion.