Skip to main content
PMC home page
Skull Base Surgery logoLink to Skull Base Surgery
. 1991 Jul;1(3):188–190. doi: 10.1055/s-2008-1057005

Transmastoid Infralabyrinthine Approach to Petrous Temporal Bone

David F Wilson, Richard S Hodgson
PMCID: PMC1656292  PMID: 17170811

Abstract

The most direct approach to the anterior and inferior regions of the petrous temporal bone skull base is transmastoid infralabyrinthine. This approach provides an exposure for draining and aerating cholesterol granulomas or obtaining tissue for micropathologic diagnosis. It obviates the exposure of the intracranial space, thereby producing minimal care, as in mastoid-type surgical procedures. The procedure is described and illustrated. Two cases with petrous temporal bone cholesterol granulomas demonstrate the definitive effectiveness of this procedure.

Full text

PDF
188

Images in this article

189Figure 1
on p.189
190Figure 3
on p.190

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Amedee R. G., Marks H. W., Lyons G. D. Cholesterol granuloma of the petrous apex. Am J Otol. 1987 Jan;8(1):48–55. [PubMed] [Google Scholar]
  2. Benecke J. E., Jr Giant cholesterol granuloma producing brainstem compression. Am J Otol. 1988 Mar;9(2):113–116. [PubMed] [Google Scholar]
  3. FRIEDMANN I. Epidermoid cholesteatoma and cholesterol granuloma; experimental and human. Ann Otol Rhinol Laryngol. 1959 Mar;68(1):57–79. doi: 10.1177/000348945906800103. [DOI] [PubMed] [Google Scholar]
  4. Fisch U. Infratemporal fossa approach to tumours of the temporal bone and base of the skull. J Laryngol Otol. 1978 Nov;92(11):949–967. doi: 10.1017/s0022215100086382. [DOI] [PubMed] [Google Scholar]
  5. Franklin D. J., Jenkins H. A., Horowitz B. L., Coker N. J. Management of petrous apex lesions. Arch Otolaryngol Head Neck Surg. 1989 Sep;115(9):1121–1125. doi: 10.1001/archotol.1989.01860330111030. [DOI] [PubMed] [Google Scholar]
  6. Gacek R. R. Diagnosis and management of primary tumors of the petrous apex. Ann Otol Rhinol Laryngol. 1975 Jan-Feb;84(1 Pt 2 Suppl 18):1–20. doi: 10.1177/0003489475084S1801. [DOI] [PubMed] [Google Scholar]
  7. Gherini S. G., Brackmann D. E., Lo W. W., Solti-Bohman L. G. Cholesterol granuloma of the petrous apex. Laryngoscope. 1985 Jun;95(6):659–664. doi: 10.1288/00005537-198506000-00005. [DOI] [PubMed] [Google Scholar]
  8. Glasscock M. E., 3rd, Hunt W. E. Giant-cell tumor of the sphenoid and temporal bones. Laryngoscope. 1974 Jul;84(7):1181–1187. doi: 10.1288/00005537-197407000-00013. [DOI] [PubMed] [Google Scholar]
  9. Graham M. D., Kemink J. L., Latack J. T., Kartush J. M. The giant cholesterol cyst of the petrous apex: a distinct clinical entity. Laryngoscope. 1985 Nov;95(11):1401–1406. doi: 10.1288/00005537-198511000-00021. [DOI] [PubMed] [Google Scholar]
  10. Gray W. C., Salcman M., Rao K. C., Hafiz M. A. Cholesterol granuloma of the petrous apex and sphenoidal sinus: a case report. Neurosurgery. 1985 Jul;17(1):67–69. doi: 10.1227/00006123-198507000-00011. [DOI] [PubMed] [Google Scholar]
  11. Greenberg J. J., Oot R. F., Wismer G. L., Davis K. R., Goodman M. L., Weber A. E., Montgomery W. W. Cholesterol granuloma of the petrous apex: MR and CT evaluation. AJNR Am J Neuroradiol. 1988 Nov-Dec;9(6):1205–1214. [PMC free article] [PubMed] [Google Scholar]
  12. Griffin C., DeLaPaz R., Enzmann D. MR and CT correlation of cholesterol cysts of the petrous bone. AJNR Am J Neuroradiol. 1987 Sep-Oct;8(5):825–829. [PMC free article] [PubMed] [Google Scholar]
  13. HOUSE W. F. Surgical exposure of the internal auditory canal and its contents through the middle, cranial fossa. Laryngoscope. 1961 Nov;71:1363–1385. doi: 10.1288/00005537-196111000-00004. [DOI] [PubMed] [Google Scholar]
  14. Hardy J., Wigser S. M. Trans-sphenoidal surgery of pituitary fossa tumors with televised radiofluoroscopic control. J Neurosurg. 1965 Dec;23(6):612–619. doi: 10.3171/jns.1965.23.6.0612. [DOI] [PubMed] [Google Scholar]
  15. House J. L., Brackmann D. E. Cholesterol granuloma of the cerebellopontine angle. Arch Otolaryngol. 1982 Aug;108(8):504–506. doi: 10.1001/archotol.1982.00790560042012. [DOI] [PubMed] [Google Scholar]
  16. House W. F., De la Cruz A., Hitselberger W. E. Surgery of the skull base: transcochlear approach to the petrous apex and clivus. Otolaryngology. 1978 Sep-Oct;86(5):ORL–770-9. doi: 10.1177/019459987808600522. [DOI] [PubMed] [Google Scholar]
  17. Jenkins H. A., Fisch U. The transotic approach to resection of difficult acoustic tumors of the cerebellopontine angle. Am J Otol. 1980 Oct;2(2):70–76. [PubMed] [Google Scholar]
  18. Linstrom C. J., McLure T. C., 3rd, Gamache F. W., Jr, Saint-Louis L. A. Bilateral cholesterol granulomas of the petrous apices: case report and review. Am J Otol. 1989 Sep;10(5):393–401. [PubMed] [Google Scholar]
  19. Lo W. W., Solti-Bohman L. G., Brackmann D. E., Gruskin P. Cholesterol granuloma of the petrous apex: CT diagnosis. Radiology. 1984 Dec;153(3):705–711. doi: 10.1148/radiology.153.3.6494466. [DOI] [PubMed] [Google Scholar]
  20. McDonald P., Hughes G. B., Wood B. G. Petrous apex cholesterol granuloma presenting as cochleovestibular hydrops. Otolaryngol Head Neck Surg. 1984 Oct;92(5):590–593. doi: 10.1177/019459988409200517. [DOI] [PubMed] [Google Scholar]
  21. Montgomery W. W. Cystic lesions of the petrous apex: transsphenoid approach. Ann Otol Rhinol Laryngol. 1977 Jul-Aug;86(4 Pt 1):429–435. doi: 10.1177/000348947708600402. [DOI] [PubMed] [Google Scholar]
  22. Nager G. T., Vanderveen T. S. Cholesterol granuloma involving the temporal bone. Ann Otol Rhinol Laryngol. 1976 Mar-Apr;85(2 PT1):204–209. doi: 10.1177/000348947608500204. [DOI] [PubMed] [Google Scholar]
  23. Rosenberg R. A., Hammerschlag P. E., Cohen N. L., Bergeron R. T., Reede D. L. Cholesteatoma vs. cholesterol granuloma of the petrous apex. Otolaryngol Head Neck Surg. 1986 Mar;94(3):322–327. doi: 10.1177/019459988609400311. [DOI] [PubMed] [Google Scholar]
  24. Sadé J., Teitz A. Cholesterol in cholesteatoma and in the otitis media syndrome. Am J Otol. 1982 Jan;3(3):203–208. [PubMed] [Google Scholar]
  25. Sataloff R. T., Myers D. L., Roberts B. R., Feldman M. D., Mayer D. P., Choi H. Y. Giant cholesterol cysts of the petrous apex. Arch Otolaryngol Head Neck Surg. 1988 Apr;114(4):451–453. doi: 10.1001/archotol.1988.01860160095029. [DOI] [PubMed] [Google Scholar]
  26. Thedinger B. A., Nadol J. B., Jr, Montgomery W. W., Thedinger B. S., Greenberg J. J. Radiographic diagnosis, surgical treatment, and long-term follow-up of cholesterol granulomas of the petrous apex. Laryngoscope. 1989 Sep;99(9):896–907. doi: 10.1288/00005537-198909000-00003. [DOI] [PubMed] [Google Scholar]
  27. Valvassori G. E. Applications of magnetic resonance imaging in otology. Am J Otol. 1986 Jul;7(4):262–266. [PubMed] [Google Scholar]
  28. Valvassori G. E. Diagnosis of retrocochlear and central vestibular disease by magnetic resonance imaging. Ann Otol Rhinol Laryngol. 1988 Jan-Feb;97(1):19–22. doi: 10.1177/000348948809700104. [DOI] [PubMed] [Google Scholar]
  29. Valvassori G. E., Guzman M. Magnetic resonance imaging of the posterior cranial fossa. Ann Otol Rhinol Laryngol. 1988 Nov-Dec;97(6 Pt 1):594–598. doi: 10.1177/000348948809700604. [DOI] [PubMed] [Google Scholar]

Articles from Skull base surgery are provided here courtesy of Thieme Medical Publishers

RESOURCES