title: Transnasal endoscopic management of petrous apex and clivus selected lesions.
abstract: The objective of this study was to report a series of selected primary skull base benign lesions midline located by transnasal endoscopic transsphenoidal approach. A retrospective review of 5 cases is presented: four cholesterol granuloma of the petruos apex and one of the clivus. All patients have been successfully treated via transnasal endoscopic transsphenoidal approach. The mean duration of follow-up was 27 months (range 12-50 months). No postoperative complication such as CSF leak, meningitis, or encephalocele and no signs of recurrence have been noticed. The transnasal route is a minimally invasive, safe, and efficient technique to approach the petrous apex and clivus for selected midline skull base lesions removal.
authors.affiliation: ENT and Otosurgery Department, University Hospital of Padua, Padua, Italy.
authors.forename: E
authors.initials: E
authors.lastname: Emanuelli
authors.forename: A
authors.initials: A
authors.lastname: Ciorba
authors.forename: C
authors.initials: C
authors.lastname: Bianchini
authors.forename: P
authors.initials: P
authors.lastname: Bossolesi
authors.forename: F
authors.initials: F
authors.lastname: Stomeo
authors.forename: S
authors.initials: S
authors.lastname: Pelucchi
mesh_terms: D000368:Aged; D002784:Cholesterol; D003388:Cranial Fossa, Posterior / Q000601:surgery*; D005260:Female; D015745:Granuloma, Foreign-Body / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D057605:Natural Orifice Endoscopic Surgery; D010579:Petrous Bone / Q000601:surgery*; D012189:Retrospective Studies; D055815:Young Adult
chemical_list: D002784:Cholesterol