Translabyrinthine Petrous Apex Cholesteatoma Surgery with Hearing Preservation
Objective. To introduce a novel surgical approach to petrous apex lesion (PA) with superior semicircular canal plugging for hearing preservation. Patient. A 63-year-old patient presented with a recurrent cholesteatoma of the left petrous apex. The patient had a long-term history of cholesteatoma and...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2021/5541703 |
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| author | Holger Sudhoff Randolf Klingebiel Lars-Uwe Scholtz Ingo Todt |
| author_facet | Holger Sudhoff Randolf Klingebiel Lars-Uwe Scholtz Ingo Todt |
| author_sort | Holger Sudhoff |
| collection | DOAJ |
| description | Objective. To introduce a novel surgical approach to petrous apex lesion (PA) with superior semicircular canal plugging for hearing preservation. Patient. A 63-year-old patient presented with a recurrent cholesteatoma of the left petrous apex. The patient had a long-term history of cholesteatoma and MRI with diffusion-weighted imaging (DWI) detected a suspicious lesion in the left petrous apex on follow-up. Intervention. The cholesteatoma could be completely removed from the petrous apex with partial superior semicircular canal plugging and removal with hearing preservation. Outcomes. Cholesteatomas of the temporal bone are managed by surgery with complete excision of the lesion. Results. The translabyrinthine approach, generally useful in nonhearing ears, could be utilized with the additional technique of superior semicircular canal plugging to preserve hearing in this patient. Conclusions. This case highlights the possibility of a hearing preservation strategy for PA cholesteatomas using a translabyrithine approach. |
| format | Article |
| id | doaj-art-30c141c18fc34316b36dabe93a459fba |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-30c141c18fc34316b36dabe93a459fba2025-08-20T03:55:12ZengWileyCase Reports in Otolaryngology2090-67652090-67732021-01-01202110.1155/2021/55417035541703Translabyrinthine Petrous Apex Cholesteatoma Surgery with Hearing PreservationHolger Sudhoff0Randolf Klingebiel1Lars-Uwe Scholtz2Ingo Todt3Department of Otorhinolaryngology, Head and Neck Surgery, Medical Faculty OWL, Bielefeld University, Campus Klinikum Bielefeld, Bielefeld, GermanyDepartment of Diagnostic and Interventional Neuroradiology, Protestant Hospital Bethel, Bielefeld, GermanyDepartment of Otorhinolaryngology, Head and Neck Surgery, Medical Faculty OWL, Bielefeld University, Campus Klinikum Bielefeld, Bielefeld, GermanyDepartment of Otorhinolaryngology, Head and Neck Surgery, Medical Faculty OWL, Bielefeld University, Campus Klinikum Bielefeld, Bielefeld, GermanyObjective. To introduce a novel surgical approach to petrous apex lesion (PA) with superior semicircular canal plugging for hearing preservation. Patient. A 63-year-old patient presented with a recurrent cholesteatoma of the left petrous apex. The patient had a long-term history of cholesteatoma and MRI with diffusion-weighted imaging (DWI) detected a suspicious lesion in the left petrous apex on follow-up. Intervention. The cholesteatoma could be completely removed from the petrous apex with partial superior semicircular canal plugging and removal with hearing preservation. Outcomes. Cholesteatomas of the temporal bone are managed by surgery with complete excision of the lesion. Results. The translabyrinthine approach, generally useful in nonhearing ears, could be utilized with the additional technique of superior semicircular canal plugging to preserve hearing in this patient. Conclusions. This case highlights the possibility of a hearing preservation strategy for PA cholesteatomas using a translabyrithine approach.http://dx.doi.org/10.1155/2021/5541703 |
| spellingShingle | Holger Sudhoff Randolf Klingebiel Lars-Uwe Scholtz Ingo Todt Translabyrinthine Petrous Apex Cholesteatoma Surgery with Hearing Preservation Case Reports in Otolaryngology |
| title | Translabyrinthine Petrous Apex Cholesteatoma Surgery with Hearing Preservation |
| title_full | Translabyrinthine Petrous Apex Cholesteatoma Surgery with Hearing Preservation |
| title_fullStr | Translabyrinthine Petrous Apex Cholesteatoma Surgery with Hearing Preservation |
| title_full_unstemmed | Translabyrinthine Petrous Apex Cholesteatoma Surgery with Hearing Preservation |
| title_short | Translabyrinthine Petrous Apex Cholesteatoma Surgery with Hearing Preservation |
| title_sort | translabyrinthine petrous apex cholesteatoma surgery with hearing preservation |
| url | http://dx.doi.org/10.1155/2021/5541703 |
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