2023, Number 4
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Otorrinolaringología 2023; 68 (4)
Petrous apex cholesteatoma
Navarro GS, Espinoza CC, Miranda BA, Gonzales SO
Language: Spanish
References: 10
Page: 235-239
PDF size: 216.85 Kb.
ABSTRACT
Background: Petrous apex cholesteatoma is a rare disease. Clinical presentation is
frequently facial nerve deficit and unilateral hearing loss. It is a challenge to diagnose
and treat because it is one of the most difficult areas to access in lateral skull base.
Clinical case: A 59-year-old male patient from Lima, Peru, who presented with
unilateral hearing loss and facial nerve palsy. Computed tomography showed a lesion
in petrous apex. Surgical management was proposed with a histopathological result of
cholesteatoma. Postsurgical evolution was favorable.
Conclusions: Appropriate clinical and imaging evaluation of the extent of the lesion,
facial nerve damage, possibility of hearing preservation, and involvement of adjacent
anatomical structures allow for optimal surgical planning.
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