Endoscopic trans-sphenoid excision of solid petrous apex lesion: a case report
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20173066Keywords:
Petrous apex lesion, Schwannoma, Trans-sphenoidal approachAbstract
Petrous apex lesions are highly challenging for surgical access as they lie in the most medial portion of the temporal bone, surrounded by vital structures. These lesions are traditionally tackled by labyrinthine approaches. Endoscopic endonasal approach has been described to drain cystic lesions like cholesterol granulomas. Intraosseous schwannomas of the petrous apex are a rare occurrence with only 3 cases being reported so far. We are the first to describe a transphenoidal route to completely excise a solid petrous apex lesion like a schwannoma.
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References
Issacson B, Kutz WJ, Roland PS. Lesions of petrous apex: diagnosis and management. Otolaryngol Clin North Am. 2007;40:479-519.
Gloria-Cruz TI, Schachern PA, Paparella MM, Adams GL, Fulton SE. Mets to temporal bone from primary nonsystemic malignant neoplasm. Arch Otolaryngol Head Neck Surg. 2000;126:209-11.
De la Monte SM, Dorfman HD, Chandra R, Malawer M. Intraosseous schwannoma: histologic features, ultrastructure and a review of the literature. Hum Pathol. 1984;15(6):551-8.
Tamura R, Takahashi S. Intraosseous schwannoma of the petrous apex. J Neurol Surg Rep. 2015;76(1):135-9.
Mason TH, Keigher HA. Intramedullary spinal neurilemmoma: A case report. J Neurosurg. 1986;29(4):414-6.