Abstract
• The petrous apex may be affected by cystic and solid lesions. Cystic lesions are more common and are benign. Solid lesions are less common and may be benign or malignant.
• Clinical signs and symptoms of expanding lesions of the petrous apex include Eustachian tube compression, third and sixth nerve deficits, and headache.
• Both magnetic resonance imaging and computerized tomography are recommended in the diagnosis and management of petrous apex lesions.
• Surgical approaches to biopsy or fistulize petrous apex lesions include perilabyrinthine cell tracts, sphenoid sinus, middle cranial fossa, transcochlear.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Canfield RB (1913) Some conditions associated with the loss of cerebrospinal fluid. Ann Otol Rhinol Laryngol 22:604–622
Cole TB, McCoy G (1968) Congenital cholesteatoma of temporal bone and sphenoid sinus. Arch Otolaryngol 87:576–579
DeLozier HL, Parkins CW, Gacek RR (1979) Mucocele of the petrous apex. J Laryngol Otol 93:177–180
Dota T, Nakamura K, Shaheki M, Sasaki Y (1963) Cholesterol granuloma: experimental observations. Ann Otol Rhinol Laryngol 72:346–356
Franklin DJ, Jenkins HA, Horowitz BL, Coker NJ (1989) Management of petrous apex lesions. Arch Otolaryngol 115:1121–1125
Friedman I (1959) Epidermoid cholesteatoma and cholesterol granuloma: experimental and human. Ann Otol Rhinol Laryngol 68:57–79
Gacek RR (1975) Diagnosis and management of primary tumors of the petrous apex. Ann Otol Rhinol Laryngol 84(Suppl):1–20
Gacek RR (1980) Evaluation and management of primary petrous apex cholesteatoma. Otolaryngol Head Neck Surg. 88:519–523
Gherini SG, Brackmann DE, Lo WWM, Solti-Bohman LG (1985) Cholesterol granuloma of the petrous apex. Laryngoscope 95:659–664
House WF, Doyle JB Jr (1962) Early diagnosis and removal of primary cholesteatoma causing pressure to the 8th nerve. Laryngoscope 72:1053–1063
Kopetzky SJ, Almour R (1931) The suppuration of the petrous pyramid: pathology, symptomatology and surgical treatment. Part III. Ann Otol Rhinol Laryngol 40:396–414
Manin TS, Shimada T, Lim DJ (1970) Experimental cholesterol granuloma. Arch Otolaryngol 91:356–359
Montgomery WW (1977) Cystic lesions of the petrous apex: transsphenoid approach. Ann Otol Rhinol Laryngol 86:429–435
Sataloff RT, Myers DL, Roberts B-R, Feldman MD, Mayer DP, Choi HY (1988) Giant cholesterol cysts of the petrous apex. Arch Otolaryngol 144:451–453
Valvassori GE (1988) Diagnosis of retrocochlear and central vestibular disease by magnetic resonance imaging. Ann Otol Rhinol Laryngol 97:19–22
Valvassori GE, Guzman M (1988) Magnetic resonance imaging of the posterior cranial fossa. Ann Otol Rhinol Laryngol 97:594–598
Rights and permissions
Copyright information
© 2008 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
(2008). Petrous Apex Lesions. In: Ear Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-77412-9_5
Download citation
DOI: https://doi.org/10.1007/978-3-540-77412-9_5
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-77411-2
Online ISBN: 978-3-540-77412-9
eBook Packages: MedicineMedicine (R0)