Kim Ji-Sun, Kim Dong-Hyun, Yoon Wan-Soo, Kim Yeonji
Department of Otolaryngology-Head and Neck Surgery, Eunpyeong St. Mary's Hospital.
Department of Otolaryngology-Head and Neck Surgery.
J Craniofac Surg. 2019 Sep;30(6):1833-1835. doi: 10.1097/SCS.0000000000005589.
With the development of minimally invasive endoscopic surgery and image-guided navigation systems, the endoscopic endonasal approach to petrous apex lesions has become more favorable. In this case, a petrous apex cholesterol granuloma was successfully treated with an endoscopic endonasal transpterygoid approach. A navigation system was used, and a contralateral nasoseptal flap and silicone tube stent were applied to maintain the cholesterol granuloma drainage pathway. The authors describe the endoscopic endonasal transpterygoid approach using a pedicled nasoseptal flap for petrous apex cholesterol granuloma and provide an intraoperative video and a literature review.
随着微创内镜手术和图像引导导航系统的发展，经鼻内镜入路处理岩尖病变变得更加可取。在本病例中，采用经鼻内镜经翼突入路成功治疗了一例岩尖胆固醇肉芽肿。术中使用了导航系统，并应用对侧鼻中隔瓣和硅胶管支架来维持胆固醇肉芽肿的引流通道。作者描述了使用带蒂鼻中隔瓣的经鼻内镜经翼突入路治疗岩尖胆固醇肉芽肿的方法，并提供了术中视频和文献综述。
