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Mucocele of the petrous apex

Published online by Cambridge University Press:  29 June 2007

H. L. DeLozier
Affiliation:
Department of Otolaryngology, Upstate medical center, 750 E. Adams Street, Syracuse, NY 13210.
C. W. Parkins
Affiliation:
Department of Otolaryngology, Upstate medical center, 750 E. Adams Street, Syracuse, NY 13210.
R. R. Gacek
Affiliation:
Department of Otolaryngology, Upstate medical center, 750 E. Adams Street, Syracuse, NY 13210.

Abstract

The first case of a primary mucocele of the petrous apex is presented and the differential diagnosis is briefly discussed. Since this area is unavailable for direct examination, a thorough radiographic evaluation is essential. A mucocele should be suspected when a lytic lesion has a multiloculated appearance and when the contralateral petrous apex is highly pneumatized. Even then, a biopsy may still be needed to make a definitive diagnosis. The appropriate treatment for these cystic lesions is fistulization into a radical mastoid cavity or an exteriorized sphenoid sinus.

Type
Clinical records
Copyright
Copyright © JLO (1984) Limited 1979

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References

REFERENCES

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