Sanna M, Mazzoni A, Landolfi M, Aristegui M
Gruppo Otologico, Piacenza (Italia), Depart. Otorino, Ospedali Riuniti, Bérgamo, Italia.
Acta Otorrinolaringol Esp. 1994 May-Jun;45(3):143-52.
Cholesteatoma involving the petrous compartment of the temporal bone is rare and is a difficult surgical challenge for the neuro-otological surgeon. A series of 60 cases of petrous bone cholesteatoma is presented. The diagnosis, surgical treatment, results, and complications are discussed. Our present surgical attitude is based on closed obliterative procedures that allow a wide field exposure with radical removal excision, control and protection of vital structures, and management of problems related to the facial nerve. The treatment of dura mater involved by matrix is still unsolved. Regular follow-up with CT and MRI is mandatory.
累及颞骨岩部的胆脂瘤较为罕见，对于神经耳科外科医生而言是一项具有挑战性的手术难题。本文报告了一系列60例岩部胆脂瘤病例。讨论了其诊断、手术治疗、结果及并发症。我们目前的手术策略基于封闭性闭塞手术，该手术能提供广阔的视野暴露，可彻底切除病变、控制并保护重要结构，以及处理与面神经相关的问题。基质累及硬脑膜的治疗问题仍未解决。必须定期通过CT和MRI进行随访。
