gms | German Medical Science

82nd Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

01.06. - 05.06.2011, Freiburg

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Microscopic endoscopic transsphenoidal approach to pertous apex cholesterol granuloma: Case report

Meeting Abstract

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  • corresponding author Fahd Alharbi - Klinikum Bad Hersfeld, HNO-Klinik, Department of Otolaryngology, Head and Neck Surgery, Bad Hersfeld
  • Peter Issing - Klinikum Bad Hersfeld, HNO-Klinik, Bad Hersfeld
  • Joachim Hammersen - Klinikum Bad Hersfeld, HNO-Klinik, Bad Hersfeld

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 82. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Freiburg i. Br., 01.-05.06.2011. Düsseldorf: German Medical Science GMS Publishing House; 2011. Doc11hnod568

doi: 10.3205/11hnod568, urn:nbn:de:0183-11hnod5689

Published: April 19, 2011

© 2011 Alharbi et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Introduction: Transsphenoidal approach through microscopic and endoscopic technique to drain a petrous apex cholesterol granuloma.

Method: A 52-year-old woman presented with cholesterol granuloma of the right petrous apex complaining of progressive hearing loss and fullness sensation. The lesion was treated via transspenoidal approach to establish a drainage pathway into the nasopharynx.

Result: The postoperative course of the patient showed improvement of the hearing threshold and disappearance of the drowsiness and aural fullness.

Conclusion: This procedure for the drainage of petrous apex cholesterol granuloma showed to be effective, safe and minimally invasive method of treatment without postoperative complications.