Department of Otorhinolaryngology, University of Mersin School of Medicine, Mersin, Turkey.
J Craniofac Surg. 2021 May 1;32(3):e286-e288. doi: 10.1097/SCS.0000000000007204.
Petrous apex effusions are rare disorders and usually occur in the petrous apex (PA) having well-aerated cells and it may present with several symptoms or can be diagnosed incidentally on imaging methods obtained for another reason. If there are persistent symptoms despite the conservative treatment in symptomatic patients, a surgical attempt can be considered. In patients with favorable hearing levels and with the well-pneumatized petrous bone, PA cells may be effectively drained through subcochlear or supracochlear approaches by preserving patient's hearing levels. In this case report, the authors presented a severe symptomatic patient with petrous apex effusion who did not respond to conservative treatment and petrous apex drainage was performed via the subcochlear approach.
岩尖积液是罕见的疾病，通常发生在具有良好充气细胞的岩尖（PA），可能会出现多种症状，也可能在因其他原因获得的影像学方法中偶然诊断出来。如果症状性患者经过保守治疗后仍有持续症状，可以考虑进行手术尝试。对于听力水平良好且岩骨充气良好的患者，可以通过耳蜗下或耳蜗上途径有效地排空 PA 细胞，同时保留患者的听力水平。在本病例报告中，作者介绍了一位严重症状性的岩尖积液患者，他对保守治疗没有反应，并通过耳蜗下途径进行了岩尖引流。
