Section: 
From practice
From practiceA combined approach in the surgery of infra-labyrinthine and infra-labyrinthine apical cholesteatoma: the comparison of two clinical cases
Kh. M. Diab (1), (2), N. A. Daikhes (1), (2), O. A. Pashchinina (1), A. G. Zukhba (1), O. S. Panina (1)
(1) Clinical Research Centre of Otorhinolaryngology, Federal Medico-Biological Agency of Russia, Moscow, 123182, Russia
(2) Pirogov Russian National Research Medical University, Ministry of Healthcare of Russia, Moscow, 117997, Russia
UDK: 616.284-002.258-089
DOI: https://doi.org/10.18692/1810-4800-2018-6-130-138
ABSTRACT
Infra-labyrinthine and infra-labyrinthine apical cholesteatoma is quite a rare pathology which poses difficulty for surgical treatment due to its specific location in a difficult-to-access area between the cochlea, internal carotid artery, bulb of jugular vein, ventral-lateral side of the brainstem. The article presents a brief literature review covering the present-day approaches to its treatment, and provides a description and comparison of two clinical cases of surgical treatment. In both cases we used a combined technique (microsurgical with endoscopic assistance), performing various approaches in consideration of clinical and anatomical features of each patient. Special attention is paid to the possibilities of combined approaches in the temporal bone sanitation in this localization of cholesteatoma.
Publication date:
06.12.2018
Keywords:
petrous bone cholesteatoma, infra-labyrinthine cholesteatoma, combined approach. For citation:
Diab Kh. M., Daikhes N. A., Pashchinina O. A., Zukhba A. G., Panina O. S. A combined approach in the surgery of infra-labyrinthine and infra-labyrinthine apical cholesteatoma: the comparison of two clinical cases. Rossiiskaya otorinolaringologiya. 2018;6:130–138. https://doi.org/10.18692/1810-4800-2018-6-130-138