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Title
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Subarcuate supralabyrinthine approach for supralabyrinthine petrosal cholesteatoma
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Author
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Abstract
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| Congenital cholesteatomas of the petrosal apex account for 1% to 3% of all cholesteatomas and often present an important surgical challenge. This report describes an exceptional case of a "nondestructive" translabyrinthine surgical approach to a large congenital petrosal cholesteatoma that threatened the vestibulum, superior semicircular canal, facial nerve, and internal auditory canal. We applied a nonconventional transmastoid subarcuate supralabyrinthine approach in a 20-year-old patient by accessing the lesion through the center of the superior semicircular arch without damaging the integrity of the canal. This led to a complete removal of the petrosal cholesteatoma with preservation of hearing and vestibular function. Follow-up imaging performed I and 2 years after operation by means of non-echo-planar diffusion-weighted imaging did not show residual cholesteatoma. This report describes the first successful use of a subarcuate supralabyrinthine approach through the arches of the superior semicircular canal in a case of petrosal cholesteatoma. |
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Language
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English
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Source (journal)
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The annals of otology, rhinology and laryngology. - St. Louis, Mo., 1897, currens
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Publication
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St. Louis, Mo.
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2010
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ISSN
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0003-4894
[print]
1943-572X
[online]
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DOI
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10.1177/000348941011900108
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Volume/pages
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119
:1
(2010)
, p. 42-46
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ISI
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000273680600008
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Full text (Publisher's DOI)
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