An analysis of petrous bone cholesteatomas treated with translabyrinthine transotic petrosectomy

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 findin...

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Bibliographic Details
Published in:Acta oto-laryngologica 2013-10, Vol.133 (10), p.1053-1057
Main Authors: Tutar, Hakan, Goksu, Nebil, Aydil, Utku, Ba türk Tutar, Vildan, Kizil, Yusuf, Bakkal, Faruk Kadri, Bayazit, Y ld r m A.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Child
Cholesteatoma - diagnosis
Cholesteatoma - surgery
Female
Humans
Male
Middle Aged
Petrous apex cholesteatomas
Petrous Bone - diagnostic imaging
Petrous Bone - surgery
Retrospective Studies
Tomography, X-Ray Computed
translabyrinthine transotic approach
Treatment Outcome
Young Adult
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Summary: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.
ISSN:0001-6489
1651-2251
DOI:10.3109/00016489.2013.811752