Petrous Apex Cephaloceles: Radiology Features and Surgical Management of a Rare Entity

2020 ◽  
Author(s):  
Madeline Epsten ◽  
Mehmet Kocak ◽  
Andre Beer Furlan ◽  
Bledi C. Brahimaj ◽  
Richard W. Byrne ◽  
...  
Keyword(s):  
Surgical Management ◽  
Petrous Apex ◽  
Rare Entity

scholarly journals Petrous apex cholesterol granuloma: pictorial review of radiological considerations in diagnosis and surgical histopathology

2013 ◽  
Vol 127 (4) ◽  
pp. 339-348 ◽  
Author(s):  
M Hoa ◽  
J W House ◽  
F H Linthicum ◽  
J L Go
Keyword(s):  
Differential Diagnosis ◽  
Surgical Management ◽  
Fibrous Tissue ◽  
Tissue Reaction ◽  
Petrous Apex ◽  
Cholesterol Granuloma ◽  
Surgical Drainage ◽  
Radiological Features ◽  
Pictorial Review ◽  
Appropriate Treatment

AbstractBackground:Petrous apex cholesterol granulomas are expansile, cystic lesions containing cholesterol crystals surrounded by foreign body giant cells, fibrous tissue reaction and chronic inflammation. Appropriate treatment relies on an accurate radiological diagnosis and an understanding of the distinguishing radiological features of relevant entities in the differential diagnosis of this condition.Methods:Firstly, this paper presents a pictorial review of the relevant radiological features of petrous apex cholesterol granuloma, and highlights unique features relevant to the differential diagnosis. Secondly, it reviews the histopathological and radiological findings associated with surgical drainage of these lesions.Results:Radiological features relevant to the differential diagnosis of petrous apex cholesterol granuloma are reviewed, together with radiological and histopathological features relevant to surgical management. Following surgical management, histopathological and radiological evidence demonstrates that the patency of the surgical drainage pathway is maintained.Conclusion:Accurate diagnosis of petrous apex cholesterol granuloma is essential in order to instigate appropriate treatment. Placement of a stent in the drainage pathway may help to maintain patency and decrease the likelihood of symptomatic recurrence.

Surgical management options and postoperative functional outcomes of petrous apex cholesteatoma

2011 ◽  
Vol 131 (11) ◽  
pp. 1142-1149 ◽  
Author(s):  
Jae-Jin Song ◽  
Yong-Hwi An ◽  
Soon-Hyun Ahn ◽  
Jae Chul Yoo ◽  
Jun Ho Lee ◽  
...  
Keyword(s):  
Surgical Management ◽  
Functional Outcomes ◽  
Petrous Apex ◽  
Management Options

CHOLESTEROL CYSTS OF THE PETROUS APEX: RADIOLOGICAL EVALUATION AND SURGICAL MANAGEMENT

1992 ◽  
Vol 62 (6) ◽  
pp. 429-435 ◽  
Author(s):  
W. H. Breidahl ◽  
C. P. Bracks ◽  
M. S. Khangure
Keyword(s):  
Surgical Management ◽  
Petrous Apex ◽  
Radiological Evaluation

scholarly journals Post-traumatic bronchobiliary fistula

2019 ◽  
Vol 12 (4) ◽  
pp. e228294 ◽  
Author(s):  
Niladri Banerjee ◽  
Amulya Rattan ◽  
Pratyusha Priyadarshini ◽  
Subodh Kumar
Keyword(s):  
Early Diagnosis ◽  
Surgical Management ◽  
Gold Standard ◽  
Complete Recovery ◽  
Rare Entity ◽  
Bronchobiliary Fistula ◽  
Confirmatory Tests ◽  
Post Traumatic ◽  
Torso Trauma ◽  
Individualised Treatment

Post-traumatic bronchobiliary fistula (BBF) is a rare entity, with only a few cases reported worldwide. Bilioptysis is pathognomonic of the condition, however, bronchoscopy and bronchoalveolar lavage along with CT are used for confirmation. We describe this condition in a young woman who presented to us with bilioptysis following a laparotomy for blunt torso trauma. Diagnosis was made of BBF, followed by surgical management and complete recovery. We emphasise the signs of early diagnosis, confirmatory tests, individualised treatment and advocate surgical management as the gold standard of treatment.

SURGICAL MANAGEMENT OF PETROUS APEX MENINGIOMA

1979 ◽  
Vol 89 (2) ◽  
pp. 204???213 ◽  
Author(s):  
DONALD W. GOIN
Keyword(s):  
Surgical Management ◽  
Petrous Apex

Mucocele of the sphenoid sinus: a rare entity to keep in mind

2019 ◽  
Vol 8 (2) ◽  
pp. 1-5
Author(s):  
Marrakchi jihene ◽  
Mejbri Maha ◽  
Sana Mahfoudhi ◽  
Besbes Ghazi
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Surgical Management ◽  
Sphenoid Sinus ◽  
Diagnosis And Treatment ◽  
Rare Entity ◽  
Resonance Imaging ◽  
Computed Tomography Scan ◽  
Tomography Scan

Isolated sphenoid sinus mucocele (SSM) is a rare entity that can result in serious sequelae if diagnosis and treatment are inappropriately delayed. Typically, mucoceles are asymptomatic, and they are accidentally identified after computed tomography scan or magnetic resonance imaging of the maxillofacial area performed for other pathologic issues. We report a case of isolated SSM that only presented with headache for over a year, and also review the literature regarding surgical management of such entity.

scholarly journals Surgical Management of Petrous Apex Cholesteatoma: A Therapeutic Scheme

Skull Base ◽  
1992 ◽  
Vol 2 (01) ◽  
pp. 22-27 ◽  
Author(s):  
Naoaki Yanagihara ◽  
Koshiro Nakamura ◽  
Takao Hatakeyama
Keyword(s):  
Surgical Management ◽  
Petrous Apex

Surgical Management of Intrinsic Tumors of the Facial Nerve

Neurosurgery ◽  
2017 ◽  
Vol 83 (4) ◽  
pp. 740-752 ◽  
Author(s):  
Sampath Chandra Prasad ◽  
Melissa Laus ◽  
Manjunath Dandinarasaiah ◽  
Enrico Piccirillo ◽  
Alessandra Russo ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Surgical Management ◽  
Nerve Palsy ◽  
Surgical Intervention ◽  
Facial Nerve Palsy ◽  
Hearing Preservation ◽  
Rare Entity ◽  
Facial Nerve Function ◽  
Tumor Removal ◽  
The Mean

Abstract BACKGROUND Intrinsic tumors of the facial nerve are a rare entity. Dealing with this subset of tumors is challenging both in terms of decision making and surgical intervention. OBJECTIVE To review the outcomes of surgical management of facial nerve tumors and cable nerve graft interpositioning. METHODS A retrospective analysis was performed at a referral center for skull base pathology. One hundred fifteen patients who were surgically treated for facial nerve tumors were included. In case of nerve interruption during surgery, the cable nerve interpositioning technique was employed wherein the facial nerve palsy lasted for less than 1-yr duration. In cases of facial nerve palsy lasting for greater than 1 yr, the nerve was restituted by a hypoglossal facial coaptation. RESULTS Various degrees of progressive paralysis were seen in 84 (73%) cases. Sixty nine (60%) of the tumors involved multiple segments of the facial nerve. Sixty-two (53.9%) tumors involved the geniculate ganglion. Seventy four (64.3%) of the cases were schwannomas. Hearing preservation surgeries were performed in 60 (52.1%). Ninety one (79.1%) of the nerves that were sectioned in association with tumor removal were restituted primarily by interposition cable grafting. The mean preoperative House-Brackmann grading of the facial nerve was 3.6. The mean immediate postoperative grading was 5.4, which recovered to a mean of 3.4 at the end of 1 yr. CONCLUSION In patients with good facial nerve function (House-Brackmann grade I-II), a wait-and-scan approach is recommended. In cases where the facial nerve has been interrupted during surgery, the cable nerve interpositioning technique is a convenient and well-accepted procedure for immediate restitution of the nerve.

scholarly journals Huge adrenal myelolipoma: A rare entity

2015 ◽  
Vol 5 (2) ◽  
pp. 46-49
Author(s):  
G Pandey ◽  
B Thakur ◽  
M Devkota
Keyword(s):  
Adrenal Gland ◽  
Surgical Management ◽  
Histopathological Examination ◽  
Rare Entity ◽  
Retroperitoneal Mass ◽  
Adrenal Myelolipoma ◽  
Uncommon Tumor

Adrenal myelolipoma is a benign uncommon tumor of adrenal gland which is mostly diagnosed incidentally. Huge adrenal myelolipoma are very rare. Histopathological examination gives the confirmed diagnosis. Here we present a 76 years old female with huge retroperitoneal mass, diagnosed as adrenal myelolipoma on the basis of histopathological examinations. Surgical management is the treatment of choice for large symptomatic tumors.

Medial meatal fibrosis: current approach

1996 ◽  
Vol 110 (5) ◽  
pp. 417-420 ◽  
Author(s):  
Giuseppe Magliulo ◽  
Roberta Ronzoni ◽  
Piera Cristofari
Keyword(s):  
Surgical Management ◽  
Skin Graft ◽  
Fibrous Tissue ◽  
Complete Removal ◽  
Current Approach ◽  
Rare Entity ◽  
Bony Canal

AbstractMedial meatal fibrosis is a rare entity which is linked to inflammatory and traumatic factors. This pathology significantly benefits from surgical management. Criteria for achieving successful results are strict and concern the complete removal of the fibrous tissue and covering of the bony canal with skin graft. The aim of this paper is to present our experience with this rare pathology and to discuss current approaches.

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