Microscopic and endoscopic transsphenoidal approach to petrous apex cholesterol granuloma : case report

Abstract EN

Objective : Transsphenoidal approach through the microscopic and endoscopic technique to drain a petrous apex cholesterol granuloma.

Method : A 52-year-old woman presented with cholesterol granuloma of the right petrous apex complaining of progressive hearing loss and fullness sensation.

The lesion was treated via transsphenoidal approach to establish a drainage pathway into the nasopharynx.

Result : The postoperative course of the patient showed improvement of the hearing threshold and disappearance of the drowsiness and aural fullness.

Conclusion : This procedure for the drainage of petrous apex cholesterol granuloma showed to be effective, safe and a minimally invasive method of treatment without postoperative complications.

ª 2012 Egyptian Society of Ear, Nose, Throat and Allied Sciences.