Sugimoto Hisashi, Hatano Miyako, Noda Masao, Hasegawa Hiroki, Yoshizaki Tomokazu
Department of Otolaryngology-Head and Neck Surgery, Kanazawa University Hospital, Kanazawa University Graduate School of Medical Science, 13-1 Takaramachi, Kanazawa, Ishikawa, 920-8640, Japan.
Eur Arch Otorhinolaryngol. 2017 Dec;274(12):4127-4130. doi: 10.1007/s00405-017-4763-9. Epub 2017 Oct 10.
We describe a technique for approaching petrous apex cholesteatoma using combined lateral microscopic/endoscopic approaches, and discuss the utility of endoscopy in managing matrix inside the petrous apex. In our two cases, total view inside the petrous apex was achieved under endoscopy without mobilizing the internal carotid artery, and the matrix was successfully removed. Neither patient has presented with postoperative recurrence thanks to the wide-angle endoscopic view inside the petrous apex. Since the number of patients was small, comparisons with microscopic treatments are not yet valid, but endoscopes could offer a helpful tool for operating inside the petrous apex.
我们描述了一种使用显微镜外侧入路与内镜入路相结合的方法来处理岩尖胆脂瘤，并讨论了内镜在处理岩尖内基质方面的实用性。在我们的两例病例中，在内镜下无需移动颈内动脉即可实现对岩尖内部的全面观察，并且成功地清除了基质。由于岩尖内有广角内镜视野，两位患者均未出现术后复发。由于患者数量较少，与显微镜治疗的比较尚无定论，但内镜可为岩尖内手术提供有用的工具。
