Jaehyung Park, Euyhyun Park, Gi jung Im, Hak Hyun Jung
{"title":"经迷路有袋化术治疗先天性巨大胆脂瘤石尖1例","authors":"Jaehyung Park, Euyhyun Park, Gi jung Im, Hak Hyun Jung","doi":"10.3342/kjorl-hns.2023.00458","DOIUrl":null,"url":null,"abstract":"Congenital cholesteatoma is rare, and especially so for a benign mass to grow from the squamous epithelium and the petrous apex as a location for this cancer. Surgery of the petrous apex cholesteatoma is challenging due to the location of the lesion and the need to preserve adjacent structures such as the dura mater, internal carotid artery, and internal auditory canal. Imaging studies, including CT and MRI, were crucial in guiding the surgical approach. This report describes a 40-year-old male patient with a large congenital cholesteatoma involving the petrous apex and temporal bone. The patient presented with a headache, hearing loss that persisted despite prior medical treatment. The cholesteatoma was surgically marsupialized through translabyrinthine approach, and the patient has remained stable for over 20 years. This report underscores the importance of considering the anatomical location and relationships of the lesion and adjacent structures when determining the surgical approach for congenital cholesteatoma involving the petrous apex and temporal bone.","PeriodicalId":17844,"journal":{"name":"Korean Journal of Otorhinolaryngology-head and Neck Surgery","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Case of Huge Congenital Cholesteatoma of Petrous Apex Treated With Translabyrinthine Marsupialization\",\"authors\":\"Jaehyung Park, Euyhyun Park, Gi jung Im, Hak Hyun Jung\",\"doi\":\"10.3342/kjorl-hns.2023.00458\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Congenital cholesteatoma is rare, and especially so for a benign mass to grow from the squamous epithelium and the petrous apex as a location for this cancer. Surgery of the petrous apex cholesteatoma is challenging due to the location of the lesion and the need to preserve adjacent structures such as the dura mater, internal carotid artery, and internal auditory canal. Imaging studies, including CT and MRI, were crucial in guiding the surgical approach. This report describes a 40-year-old male patient with a large congenital cholesteatoma involving the petrous apex and temporal bone. The patient presented with a headache, hearing loss that persisted despite prior medical treatment. The cholesteatoma was surgically marsupialized through translabyrinthine approach, and the patient has remained stable for over 20 years. This report underscores the importance of considering the anatomical location and relationships of the lesion and adjacent structures when determining the surgical approach for congenital cholesteatoma involving the petrous apex and temporal bone.\",\"PeriodicalId\":17844,\"journal\":{\"name\":\"Korean Journal of Otorhinolaryngology-head and Neck Surgery\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-09-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Korean Journal of Otorhinolaryngology-head and Neck Surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3342/kjorl-hns.2023.00458\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Korean Journal of Otorhinolaryngology-head and Neck Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3342/kjorl-hns.2023.00458","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
A Case of Huge Congenital Cholesteatoma of Petrous Apex Treated With Translabyrinthine Marsupialization
Congenital cholesteatoma is rare, and especially so for a benign mass to grow from the squamous epithelium and the petrous apex as a location for this cancer. Surgery of the petrous apex cholesteatoma is challenging due to the location of the lesion and the need to preserve adjacent structures such as the dura mater, internal carotid artery, and internal auditory canal. Imaging studies, including CT and MRI, were crucial in guiding the surgical approach. This report describes a 40-year-old male patient with a large congenital cholesteatoma involving the petrous apex and temporal bone. The patient presented with a headache, hearing loss that persisted despite prior medical treatment. The cholesteatoma was surgically marsupialized through translabyrinthine approach, and the patient has remained stable for over 20 years. This report underscores the importance of considering the anatomical location and relationships of the lesion and adjacent structures when determining the surgical approach for congenital cholesteatoma involving the petrous apex and temporal bone.