Petrous bone lesions: surgical implementation and outcomes of extradural subtemporal approach

2021 ◽  
Author(s):  
Udom Bawornvaraporn ◽  
Ali R. Zomorodi ◽  
Allan H. Friedman ◽  
Takanori Fukushima
Keyword(s):  
Petrous Bone ◽  
Bone Lesions ◽  
Subtemporal Approach

Neurosurgical management of petrous bone lesions: classification system and selection of surgical approaches

2021 ◽  
Author(s):  
Udom Bawornvaraporn ◽  
Ali R. Zomorodi ◽  
Allan H. Friedman ◽  
Takanori Fukushima
Keyword(s):  
Classification System ◽  
Petrous Bone ◽  
Surgical Approaches ◽  
Bone Lesions ◽  
Selection Of

Using the Arcuate Eminence–Trigeminal Notch Line to Localize the Anterior Wall of the Internal Auditory Canal in a Subtemporal Approach: An Anatomical Study

2020 ◽  
Author(s):  
Haifeng Yang ◽  
Mengjun Li ◽  
Ge Chen ◽  
Jiantao Liang ◽  
Yuhai Bao ◽  
...  
Keyword(s):  
Internal Auditory Canal ◽  
Anatomical Study ◽  
Petrous Bone ◽  
Anterior Wall ◽  
Anterior Surface ◽  
Regional Anatomy ◽  
Subtemporal Approach ◽  
Transitional Point ◽  
Greater Superficial Petrosal Nerve

Abstract Background This article aims to describe the regional anatomy of the anterior end of the arcuate eminence, the lateral end of the trigeminal notch, and the line connecting the two (i.e., the arcuate eminence–trigeminal notch line [ATL]) and to determine whether the ATL could be used as a landmark for localizing the internal auditory canal (IAC). Methods Twenty sides of the middle cranial fossae were examined. The anterior end of the arcuate eminence, the lateral end of the trigeminal notch, the ATL, and other crucial structures were exposed. The relevant distance and angle of related structures in the anterior wall of the petrosal bone were measured. Results The anterior end of the arcuate eminence and the lateral end of the trigeminal notch could be identified in all specimens. The anterior end of the arcuate eminence lay over the geniculate ganglia and the vestibule area, and could be visualized directly or determined from the intersection of the long axes of the greater superficial petrosal nerve and arcuate eminence. On the petrous ridge, the lateral end of the trigeminal notch was also the transitional point of the suprameatal tubercle and trigeminal notch. The ATL corresponded to the projection of the anterior wall of the IAC on the anterior surface of the petrous bone. Conclusion The ATL corresponded to the projection of the anterior wall of the IAC on the anterior petrous surface and could be used as an alternative landmark for localizing the anterior wall of the IAC.

Abstract #202 Multiple Bone Lesions in a 65-Year-Old Woman

2019 ◽  
Vol 25 ◽  
pp. 63
Author(s):  
Jose Paz-Ibarra ◽  
Maria Trujillo ◽  
Hector Bojorquez
Keyword(s):  
Bone Lesions

Primary Cholesteatoma of Petrous Bone: A Case Report

2014 ◽  
Vol 75 (S 02) ◽  
Author(s):  
Insaf Zgolli ◽  
S. Mezri ◽  
I. Kasraoui ◽  
N. Moussa ◽  
K. Akkari ◽  
...  
Keyword(s):  
Case Report ◽  
Petrous Bone

Cystic Bone Lesions in Horses and Humans: A Comparative Review

1998 ◽  
Vol 11 (01) ◽  
pp. 08-18 ◽  
Author(s):  
C. W. McIlwraith ◽  
J. A. Auer ◽  
Brigitte von Rechenberg
Keyword(s):  
Recurrence Rate ◽  
Subchondral Bone ◽  
Fibrous Tissue ◽  
Clinical Signs ◽  
Bone Lesions ◽  
Anatomical Location ◽  
Cystic Lesions ◽  
Bone Cysts ◽  
Biological Behaviour ◽  
Comparative Review

SummaryCases of cystic bone lesions in horses and humans were reviewed in the literature. These lesions are radiolucent areas of bone, recognized as subchondral cystic lesions in the horse (SCL), intra-osseous ganglia (IOG), subchondral bone cysts secondary to osteoarthrosis (OAC), and unicameral bone cysts (UCB) in humans. Their morphology is quite similar, consisting of lesions with a distinct cyst wall, and a cavity filled with fibrous tissue and yellowish mucoid fluid. The lesions are surrounded by sclerotic bone and can be easily diagnosed radiographically. SCL, IOG and OAC occur in the subchondral bone close to the adjacent joint, whereas UCB occur in the metaphysis of long bones. Their aetiology and pathogenesis is still unknown, although primary damage to the subchondral bone, cartilage or local blood supply and growth disturbances are discussed. In this review 703 lesions of SCL in horses, 289 lesions of IOG and 1460 lesions of UCB in humans were compared in their anatomical location and clinical signs. SCL and OAC resembled each other with respect to anatomical location. A correlation of affected bones could not be found for all four groups. Clinical presentation concerning age was most similar for SCL and UCB with both lesions mainly occurring in young individuals. Gender predominance of males was present in SCL, IOG and UCB. Clinical diagnosis was either incidental, or connected with intermittent pain in all lesions except for OAC. Additionally, the lesions were also found in conjunction with degenerative joint disease (SCL, OAC) or pathological fractures (UCB). Cystic bone lesions were either treated conservatively, surgically with curettage alone, curettage in combination with grafting procedures, or intra-lesional application of corticosteroids. SCL and UCB were similar in their biological behaviour concerning their slow response to the therapy and relatively high recurrence rate. None of the cystic bone lesions were comparable, and a common aetiology and pathogenesis could not be found.In a literature review cases of cystic bone lesions in horses and humans were compared with the goal to find a common aetiology and pathogenesis. Cystic bone lesions occur in horses as subchondral cystic lesions (SCL), and in humans as either intra-osseous ganglia (IOG), subchondral cystic lesions secondary to osteoarthrosis (OAC) or unicameral bone cysts (UCB). IOG and OAC compare with SCL mainly in the anatomical location. IOG and SCL resemble each other in size, clinical signs and histology, whereas UCB and SCL show a similar biological behaviour regarding their therapeutic response and recurrence rate. None of the cystic bone lesions in humans were comparable to the SCL in horses in all aspects. A common aetiology and pathogenesis could not be established.

Age- and sex-related bone uptake of Tc-99m-HDP measured by whole-body bone scanning

2000 ◽  
Vol 39 (05) ◽  
pp. 127-132 ◽  
Author(s):  
Nicole Sieweke ◽  
K. H. Bohuslavizki ◽  
W. U. Kampen ◽  
M. Zuhayra ◽  
M. Clausen ◽  
...  
Keyword(s):  
Whole Body ◽  
Bone Lesions ◽  
Men And Women ◽  
Bone Uptake ◽  
Normal Bone ◽  
Age Related ◽  
Number Of Patients ◽  
Wide Range ◽  
Bone Scans ◽  
Body Bone

Summary Aim of this study was to validate a recently introduced new and easy-to-perform method for quantifying bone uptake of Tc-99m-labelled diphosphonate in a routine clinical setting and to establish a normal data base for bone uptake depending on age and gender. Methods: In 49 women (14-79 years) and 47 men (6-89 years) with normal bone scans as well as in 49 women (33-81 years) and 37 men (27-88 years) with metastatic bone disease whole-body bone scans were acquired at 3 min and 3-4 hours p.i. to calculate bone uptake after correction for both urinary excretion and soft tissue retention. Results: Bone uptake values of various age-related subgroups showed no significant differences between men and women (p >0.05 ). Furthermore, no differences could be proven between age-matched subgroups of normals and patients with less than 10 metastatic bone lesions, while patients with wide-spread bone metastases revealed significantly increased uptake values. In both men and women highest bone uptake was obtained (p <0.05 ) in subjects younger than 20 years with active epiphyseal growth plates. In men, bone uptake slowly decreased with age up to 60 years and then showed a tendency towards increasing uptake values. In women, the mean uptake reached a minimun in the decade 20-29 years and then slowly increased with a positive linear correlation of age and uptake in subjects older than 55 years (r = 0.57). Conclusion: Since the results proposed in this study are in good agreement with data from literature, the new method used for quantification could be validated in a large number of patients. Furthermore, age- and sexrelated normal bone uptake values of Tc-99m-HDP covering a wide range of age could be presented for this method as a basis for further studies on bone uptake.

Mechatronical Assistance in the Surgery of Petrous Bone: First Experiences with a Navigation-Controlled Drill

Skull Base ◽  
2007 ◽  
Vol 16 (S 1) ◽  
Author(s):  
Gero Strauss ◽  
Kirill Koulechov ◽  
Mathias Hofer ◽  
Andreas Dietz ◽  
Christos Trantakis ◽  
...  
Keyword(s):  
Petrous Bone
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