Kanzara Todd, Virk Jagdeep Singh, Chawda Sanjiv, Owa Anthony O
ENT Department, Queen's Hospital, Barking, Havering and Redbridge University Hospitals NHS Trust, UK.
Radiology Department, Queen's Hospital, Barking, Havering and Redbridge University Hospitals NHS Trust, UK.
Case Rep Otolaryngol. 2014;2014:184230. doi: 10.1155/2014/184230. Epub 2014 Dec 7.
We report a case of a petrous apex cholesteatoma which was managed with a wholly endoscopic permeatal approach. A 63-year-old Caucasian male presented with a 10-year history of right-sided facial palsy and profound deafness. On examination in our clinic, the patient had a grade VI House-Brackmann paresis, otoscopic evidence of attic cholesteatoma behind an intact drum, and extensive scarring of the face from previous facial reanimation surgery. Imaging review was suggestive of petrous apex cholesteatoma. An initial decision to manage the patient conservatively was later reviewed on account of the patient suffering recurrent epileptic seizures. A wholly endoscopic permeatal approach was used with successful outcomes. In addition to the case report we also provide a brief description of the technique and a review of the relevant literature.
我们报告一例采用全内镜经耳道入路治疗的岩尖胆脂瘤病例。一名63岁的白种男性，有10年右侧面瘫和重度耳聋病史。在我们诊所检查时，患者为House-Brackmann VI级麻痹，耳镜检查显示完整鼓膜后鼓室胆脂瘤，且因先前面部修复手术面部有广泛瘢痕形成。影像学检查提示岩尖胆脂瘤。最初因患者出现反复癫痫发作，对其采取保守治疗的决定随后被重新评估。采用全内镜经耳道入路治疗，取得了成功的结果。除病例报告外，我们还简要描述了该技术并回顾了相关文献。
