An analysis of petrous bone cholesteatomas treated with translabyrinthine transotic petrosectomy


TUTAR H., Goksu N., AYDİL U., Tutar V. B. , KIZIL Y., Bakkal F. K. , ...More

ACTA OTO-LARYNGOLOGICA, vol.133, no.10, pp.1053-1057, 2013 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 133 Issue: 10
  • Publication Date: 2013
  • Doi Number: 10.3109/00016489.2013.811752
  • Journal Name: ACTA OTO-LARYNGOLOGICA
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.1053-1057
  • Keywords: Petrous apex cholesteatomas, translabyrinthine transotic approach, MANAGEMENT, EXPERIENCE, OUTCOMES, APEX
  • Gazi University Affiliated: Yes

Abstract

Conclusion: In cases of petrous apex cholesteatoma, radical removal should be prioritized over an unreasonable sparing of hearing or facial symmetry. Restoration of facial nerve function is achievable by reanimation procedures. Objectives: To analyze clinical manifestations, surgical findings, and postoperative functional results of petrous apex cholesteatoma. Methods: From 1995 to 2012, 34 cases of petrous apex cholesteatoma underwent operations. Clinical and surgical findings and postoperative functional outcomes were analyzed retrospectively. Results: Hearing loss was the most common symptom in 95% of patients, followed by otorrhea in 64% and facial palsy in 59%. Four patients had recurrent facial palsy. In eight (24%) patients petrous apex cholesteatomas were recurrent or iatrogenic in origin. The supralabyrinthine and massive type of petrous bone cholesteatoma were the most common types, followed by, infralabyrinthine-apical, infralabyrinthine, and apical. Among 18 cases with facial nerve paralysis, 8 underwent hypoglossal-facial nerve anastomosis, 4 underwent rerouting and end to end anastomosis, 3 of them did not undergo any treatment because of the duration of facial palsy (> 3 years), and another 3 patients for whom we had recommended facial-hypoglossal anastomosis did not accept the operation. There were no major complications. Recurrence was observed in two (5%) cases.