Sensorineural Hearing Impairment Recovery after Transmastoidal Surgery for a Petrous Apex Cholesterol Granuloma: A Case Report.

IF 1 4区 医学 Q3 OTORHINOLARYNGOLOGY
Stan van Keulen, Walter J Szweryn, Thijs T G Jansen, Stijn Bekkers, Henricus P M Kunst
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引用次数: 1

Abstract

Cholesterol granulomas are the most common primary lesions of the petrous apex. Although their benign character, impingement of critical neurovascular structures can cause significant symptomatology such as hearing impairment. We present unique results after treatment of a cholesterol granuloma located in the petrous apex causing sensorineural hearing impairment. A transmastoidal approach was performed using an intraoperative computed tomography-guided navigation system. The video, which is included for reference, illustrates clear drainage of the cyst and drain positioning. The hearing improved completely in the lower frequencies at 500 and 1000 Hz and with a 19 dB improvement in overall bone conduction in the affected ear.

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经乳突手术治疗石质尖端胆固醇肉芽肿后感音神经性听力损伤恢复1例报告。
胆固醇肉芽肿是岩尖最常见的原发病变。虽然它们是良性的,但对关键神经血管结构的冲击可引起显著的症状,如听力障碍。我们提出独特的结果后,胆固醇肉芽肿位于岩尖引起感音神经性听力障碍。经乳突入路采用术中计算机断层扫描引导导航系统。该视频显示囊肿的清晰引流和引流定位,供参考。听力在500 Hz和1000 Hz的较低频率下完全改善,受影响耳的整体骨传导改善了19 dB。
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来源期刊
CiteScore
1.80
自引率
0.00%
发文量
94
审稿时长
6-12 weeks
期刊介绍: The Journal of International Advanced Otology (IAO – Citation Abbreviation: J Int Adv Otol) is an open access double-blind peer-reviewed, international publication. The Journal of International Advanced Otology is fully sponsored and owned by the European Academy of Otology and Neurotology and the Politzer Society. The Journal of International Advanced Otology is published 3 times per year on April, August, December and its publication language is English. The scope of the Journal is limited with otology, neurotology, audiology (excluding linguistics) and skull base medicine. The Journal of International Advanced Otology aims to publish manuscripts at the highest clinical and scientific level. IAO publishes original articles in the form of clinical and basic research, review articles, short reports and a limited number of case reports. Controversial patient discussions, communications on emerging technology, and historical issues will also be considered for publication.
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