[Endoscopic transnasal approach in surgical treatment of petrous temporal bone cholesteatoma extending towards the clivus. Three clinical observations and literature review]. / Endoskopicheskii transnazal'nyi dostup v khirurgicheskom lechenii kholesteatom piramidy visochnoi kosti, rasprostranyayushchikhsya v oblast' skata. Tri klinicheskikh nablyudeniya i obzor literatury.
Zh Vopr Neirokhir Im N N Burdenko
; 86(2): 97-102, 2022.
Article
en Ru
| MEDLINE
| ID: mdl-35412718
ABSTRACT
Petrous temporal bone Cholesteatoma is widely described in the literature and accounts for up to 9% of all neoplasms of this localization. These cholesteatomas rarely spread towards the clivus. Isolated clival cholesteatomas are described only as single cases. There is currently no consensus on the choice of surgical approach for resection of similar neoplasms. OBJECTIVE:
To demonstrate the possibilities of endoscopic transnasal approach in surgery for clival and petrous cholesteatoma. MATERIAL ANDMETHODS:
This article presents 3 clinical cases 2 patients with apical cholesteatoma of petrous part of temporal bone extending to the clivus and 1 patient with massive petrous temporal bone cholesteatoma extending towards the clivus according to the classification of Sanna M. All patients underwent endoscopic transnasal surgery. RESULTS ANDCONCLUSION:
In our opinion, endoscopic transnasal approach is optimal for resection of similar neoplasms. Total and subtotal resection was performed in 2 and 1 case, respectively. However, there are certain limitations of this approach in accessing the most lateral parts of the neoplasm. Nevertheless, endoscopic transnasal approach ensures resection of petrous temporal bone cholesteatoma extending to the clivus without the risk of damage to acoustic-facial cranial nerves. It is especially significant in patients without their baseline dysfunction.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Hueso Petroso
/
Colesteatoma
Límite:
Humans
Idioma:
Ru
Revista:
Zh Vopr Neirokhir Im N N Burdenko
Año:
2022
Tipo del documento:
Article
País de afiliación:
Rusia