Middle fossa approach for total resection of petrous apex cholesterol granulomas: use of vascularized galeofascial flap preventing recurrence.

@article{Kusumi2013MiddleFA,
  title={Middle fossa approach for total resection of petrous apex cholesterol granulomas: use of vascularized galeofascial flap preventing recurrence.},
  author={Mari Kusumi and Takanori Fukushima and Ankit I Mehta and Calhoun D. Cunningham and Allan H. Friedman and Kiyotaka Fujii},
  journal={Neurosurgery},
  year={2013},
  volume={72 1 Suppl Operative},
  pages={77-86; discussion 86}
}
BACKGROUND Cholesterol granulomas (CGs) of the petrous apex (PA) are rare, benign, expanding lesions. Surgical treatment is recommended for patients with symptomatic disease; however, the optimal surgical procedure is still controversial due to high recurrence rates. The main treatment strategy is divided into drainage and complete resection. OBJECTIVE We advocate radical resection of the lesion by the middle fossa approach and reconstruction with a vascularized galeofascial flap. METHODS A… CONTINUE READING

Citations

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Petrous Apex Cholesterol Granulomas: Outcomes, Complications, and Hearing Results From Surgical and Wait-and-Scan Management.

Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology • 2017

Cholesterol Granuloma Development following Temporal Bone Surgery.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery • 2016

Cholesterol granuloma and other petrous apex lesions.

Otolaryngologic clinics of North America • 2015

The Natural History and Management of Petrous Apex Cholesterol Granulomas.

Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology • 2015

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