Flood L M, Kemink J L
Otolaryngol Clin North Am. 1984 Aug;17(3):565-75.
It is fortunate that lesions of the petrous apex are rarely encountered. The occult nature of the local disease and the poorly localizing clinical features favor a delayed diagnosis. Its site deep to the labyrinth and facial nerve and its proximity to the internal carotid artery and brain stem potentially make surgery a risky prospect. The reconciling of preservation of neurologic function and adequate surgical exposure requires an extensive knowledge of temporal bone anatomy and surgical approaches.
幸运的是,岩尖病变很少见。局部疾病的隐匿性和定位不明确的临床特征导致诊断延迟。其位于迷路和面神经深部的位置以及与颈内动脉和脑干的接近程度,使得手术具有潜在风险。要在保留神经功能和获得充分手术暴露之间取得平衡,需要对颞骨解剖结构和手术入路有广泛的了解。