P.053 Expanded endoscopic endonasal approach for petrous apex lesions: our clinical experience and surgical techniques

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Endoscopic Endonasal Transsphenoidal Approach for Pituitary Adenomas: a Prospective Review of Our Early Experience

Background & Aim: Pituitary adenomas are a part of a dissimilar group of benign neoplasms. The development of endoscopic techniques for surgery of paranasal sinuses has increased the opportunity for an endoscopic approach with regard to the pituitary gland. Minimally invasive endoscopic pituitary surgery, in turn, permits a more thorough tumor resection and fewer associated surgical complicatio...

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Endoscopic Endonasal Resection of Cholesterol Granuloma of the Petrous Apex

A 43years old man presented with 6 month history of intermittent right hemicranial headache and ipsilateral conductive hearingloss. The patient had no historyof head trauma. The MRI demonstrated a large and expansile right petrous apex lesion hyper intense on both T1and T2-weighted scans, without diffusion restriction or internal contrast enhancement. The CT scan showed and expansile and lyticl...

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Endoscopic Endonasal Management of Recurrent Petrous Apex Cholesterol Granuloma

Introduction Petrous apex cholesterol granulomas (PACGs) are uncommon lesions. Recurrence following transcranial or endonasal approaches to aerate the cyst occurs in up to 60% of cases. We describe the technical nuances pertinent to the endonasal endoscopic management of a recurrent symptomatic PACG and review the literature. Results A 19-year-old woman presented with a recurrent abducens nerve...

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Chondrosarcomas of the skull base are rare tumors that present difficult management considerations due to the pathoanatomical relationships of the tumor to adjacent structures. We present the case of a 25-year-old female patient presenting with a chondrosarcoma of the right petrous apex extending inferiorly, medial to the cranial nerves. The tumor was resected via an endoscopic endonasal infrap...

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Petrous Apex Lesions

Situated lateral and adjacent to clivus. Petrous apex bisected by Internal auditory canal in coronal plane Anteriorly into peritubal area and posteriorly into perilabrynthine area. Anterior to the internal auditory meatus that is wedged between the posterior border of the greater wing of the sphenoid and the basilar part of the occipital bones Its borders and boundaries are marked by major bloo...

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ژورنال

عنوان ژورنال: Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques

سال: 2018

ISSN: 0317-1671,2057-0155

DOI: 10.1017/cjn.2018.155