Lesion of the Temporal Bone Pyramid
Lézie pyramídy spánkovej kosti
V práci sa analyzuje päť pacientov s rôznorodým postihnutím pyramídy spánkovej kosti -plazmocytóm, cholesteatóm, schwannóm n. VIII a n. IX a glomus jugulare tumor. Príznaky predstanovením diagnózy trvali tri mesiace - 15 rokov. Prevládala porucha sluchu, závraty, bolesť hlavya lézia tvárového nervu. V diagnostike boli najdôležitejšími zobrazovacie metódy - CT a NMR.Okrem jedného pacienta boli všetci ostatní liečení chirurgicky - dvaja pacienti transotickýmprístupom, jeden translabyrintným a jeden infratemporálnym prístupom „A“. Zdôrazňuje sa význam zobrazovacích techník pre včasné odhalenie pyramidálnych lézií, ktoré sa môžu prejaviťminimálnou symptomatológiou.
Klíčová slova:
lézie hrotu pyramídy, chirurgická léčba.
Authors:
J. Kovaľ; S. Krempaská; P. Gál; M. Andrašovská
Authors‘ workplace:
Klinika otorinolaryngológie a foniatrie LF UPJŠ a FNsP Košice, prednosta doc. MUDr. J. Kovaľ CSc.
Published in:
Otorinolaryngol Foniatr, , 2002, No. 1, pp. 17-24.
Category:
Overview
The authors analyze five patients with different affections of the pyramid of the temporalbone - plasmocytoma, cholesteatoma, schwannoma of the VIIth and IXth nerve and glomus jugularetumour. The symptoms persisted for 3 months to 15 years before establishment of the diagnosis.Impaired hearing, vertigo headache and lesions of the of the facial nerve predominated. For thediagnosis CT and NMR were the most important imaging methods. Except one patient all the otherswere treated by surgery - two patients by a transotic approach, one by a translabyrinthine and oneby an intratemporal approach „A“. The authors emphasize the importance of imaging techniquesfor early detection of pyramidal lesions which may be manifested by a minimal symptomatology.
Key words:
lesions of the pyramidal apex, surgery.
Labels
Audiology Paediatric ENT ENT (Otorhinolaryngology)Article was published in
Otorhinolaryngology and Phoniatrics
2002 Issue 1
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