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Petrous bone cholesteatoma: our experience of 20 years and management of two giant cases affecting rhinopharynx.

Authors :
Liu, Ya
Wang, Fangyuan
Shen, Weidong
Liu, Jun
Zhao, Hui
Han, Weiju
Chen, Lei
Yuan, Hu
Dai, Pu
Han, Dongyi
Yang, Shiming
Hou, Zhaohui
Source :
European Archives of Oto-Rhino-Laryngology. Jun2022, Vol. 279 Issue 6, p2791-2801. 11p.
Publication Year :
2022

Abstract

Purpose: To demonstrate our experience in the treatment of petrous bone cholesteatoma (PBC). Methods: Data of PBC patients in our hospital from January 2000 to December 2019 were collected. Surgical approaches and facial function were mainly discussed and compared with the literature. The management of 2 giant PBC cases affecting rhinopharynx has been demonstrated. Results: The supralabyrinthine type was the most frequent type followed by the massive type. There were 5 cases with cholesteatoma extending into the clivus (2 cases), sphenoid (1 case) and rhinopharynx (2 cases). The translabyrinthine approach (40%) was our most frequently used approach followed by the middle fossa approach (36%) and the transmastoid approach (11%). There were 10 cases managed with the assistance of endoscope, including 3 cases with cholesteatoma extending into clivus, sphenoid and rhinopharynx separately. Obliteration of the cavity was performed in 70.3% (135/192) cases; 3 of them recurred. For the 2 giant PBC cases affecting rhinopharynx, traditional microscopic surgery assisted with transnasal endoscope was performed. The reduced exposure was beneficial for postoperative recovery, and the approach in the nasal cavity provided a permanent drainage for postoperative examination. Conclusion: Otologic endoscope combined with traditional microscopic surgery could reduce the exposure in surgery. For extremely extended cases of PBC, supplementary transnasal endoscopic approach deserves to be considered for the traditional temporal bone approach. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
09374477
Volume :
279
Issue :
6
Database :
Academic Search Index
Journal :
European Archives of Oto-Rhino-Laryngology
Publication Type :
Academic Journal
Accession number :
156706814
Full Text :
https://doi.org/10.1007/s00405-021-06969-1