TY - JOUR
T1 - Surgical approaches to the petrous apex
AU - Li, Kevin L.
AU - Agarwal, Vijay
AU - Moskowitz, Howard S.
AU - Abuzeid, Waleed M.
N1 - Publisher Copyright:
© 2020 The Authors
PY - 2020/6
Y1 - 2020/6
N2 - The petrous apex is a difficult to reach surgical area due to its deep position in the skull base and many vital surrounding structures. Petrous apex pathology ranges from extradural cholesterol granulomas, cholesteatomas, asymmetric pneumatization, and osteomyelitis to intradural meningiomas and schwannomas. Certain lesions, such as cholesterol granulomas, can be managed with drainage while neoplastic lesions must be completely resected. Surgical options use open, endoscopic, and combined techniques and are categorized into anterior, lateral, and posterior approaches. The choice of approach is determined by the nature of the pathology and location relative to vital structures and extension into surrounding structures and requires thorough preoperative evaluation and discussion of surgical goals with the patient. The purpose of this state-of-the-art review is to discuss the most commonly used surgical approaches to the petrous apex, and the anatomy on which these approaches are based.
AB - The petrous apex is a difficult to reach surgical area due to its deep position in the skull base and many vital surrounding structures. Petrous apex pathology ranges from extradural cholesterol granulomas, cholesteatomas, asymmetric pneumatization, and osteomyelitis to intradural meningiomas and schwannomas. Certain lesions, such as cholesterol granulomas, can be managed with drainage while neoplastic lesions must be completely resected. Surgical options use open, endoscopic, and combined techniques and are categorized into anterior, lateral, and posterior approaches. The choice of approach is determined by the nature of the pathology and location relative to vital structures and extension into surrounding structures and requires thorough preoperative evaluation and discussion of surgical goals with the patient. The purpose of this state-of-the-art review is to discuss the most commonly used surgical approaches to the petrous apex, and the anatomy on which these approaches are based.
KW - Anterior approaches
KW - Endoscopic endonasal approach
KW - Lateral approaches
KW - Petrous apex
KW - Surgical approaches
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U2 - 10.1016/j.wjorl.2019.11.002
DO - 10.1016/j.wjorl.2019.11.002
M3 - Review article
AN - SCOPUS:85107130882
SN - 2095-8811
VL - 6
SP - 106
EP - 114
JO - World Journal of Otorhinolaryngology - Head and Neck Surgery
JF - World Journal of Otorhinolaryngology - Head and Neck Surgery
IS - 2
ER -