J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803493
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Medial Transsphenoidal Endoscopic Endonasal Approach to Petrous Apex Cholesterol Granuloma

Authors

  • Catherine P. Policina

    1   University of Miami, Coral Gables, Florida, United States

  • Zoukaa B. Sargi

    1   University of Miami, Coral Gables, Florida, United States

  • Carolina Benjamin

    1   University of Miami, Coral Gables, Florida, United States

  • Turki Elarjani

    1   University of Miami, Coral Gables, Florida, United States
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    Petrous apex cholesterol granuloma (PACG) is an uncommon, cystic skull base lesion. Although benign, it can expand and cause local mass effect resulting to hearing loss, vertigo, facial palsy, and/or diplopia. We present the case of a 23-year-old male with bilateral PACG. The larger left PACG was marsupialized via medial transsphenoidal endoscopic endonasal approach while still clinically silent. A wide drainage to the sphenoid sinus with free mucosal graft was created to prevent recurrence.

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    No conflict of interest has been declared by the author(s).

    Publication History

    Article published online:
    07 February 2025

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