Cholesterol Granuloma of the Petrous Apex : Establishment of a Drainage Route into the Superior Tympanic Cavity : Technical Note
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概要
- 論文の詳細を見る
錐体骨先端部コレステロール肉芽腫の治療は、translabyrinthineまたはinfralabyrinthine approachによる肉芽腫腔の乳突洞へのドレナージが第一選択とされている。中頭蓋窩法は、病変部ヘ最短距離でアプローチでき広い視野が得られる反面、含気腔へのドレナージが困難であるため、肉芽腫再発の可能牲が高いと報告されている。本症例は40歳男性、7ヵ月前より右聴力障害を自覚し、CT, MRIにて錐体骨先端部コレステロール肉芽腫と診断された。中頭蓋窩法にてアプローチし、肉芽腫を開放した後、肉芽腫内腔と上鼓室を結ぶ深さ約5mmの骨溝を錐体骨面に作成し、ドレナージルートとした。術後、聴力は温存され、3年後のMRIにて再発を認めていない。
- 日本脳神経外科学会の論文
- 1996-09-15
著者
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上口 裕之
慶應義塾大学医学部脳神経外科
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Inoue Yasuhiro
Department of Mechanical Engineering and Science, Kyoto University
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Toya Shigeo
慶應義塾大学医学部脳神経外科
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KAWASE Takeshi
慶應義塾大学医学部脳神経外科
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Inoue Yasuhiro
Department Of Gastrointestinal And Paediatric Surgery Mie University Graduate School Of Medicine
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