European Archives of Oto-Rhino-Laryngology

, Volume 270, Issue 5, pp 1747–1750

Transnasal endoscopic management of petrous apex and clivus selected lesions

  • E. Emanuelli
  • A. Ciorba
  • C. Bianchini
  • P. Bossolesi
  • F. Stomeo
  • S. Pelucchi
Head and Neck

Abstract

The objective of this study was to report a series of selected primary skull base benign lesions midline located by transnasal endoscopic transsphenoidal approach. A retrospective review of 5 cases is presented: four cholesterol granuloma of the petruos apex and one of the clivus. All patients have been successfully treated via transnasal endoscopic transsphenoidal approach. The mean duration of follow-up was 27 months (range 12–50 months). No postoperative complication such as CSF leak, meningitis, or encephalocele and no signs of recurrence have been noticed. The transnasal route is a minimally invasive, safe, and efficient technique to approach the petrous apex and clivus for selected midline skull base lesions removal.

Keywords

Petrous apex Clivus Cholesterol granuloma Endoscopy Skull base 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • E. Emanuelli
    • 1
  • A. Ciorba
    • 2
  • C. Bianchini
    • 2
  • P. Bossolesi
    • 1
  • F. Stomeo
    • 2
  • S. Pelucchi
    • 2
  1. 1.ENT and Otosurgery DepartmentUniversity Hospital of PaduaPaduaItaly
  2. 2.ENT and Audiology DepartmentUniversity Hospital of FerraraFerraraItaly

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