mesЭкстремальная биомедицинаExtreme Medicine3033-89643033-8972Centre for Strategic Planning of the Federal Medical and Biological Agency10.47183/mes.2022.032mes-141Research ArticleОБЗОРREVIEWПатология верхушки пирамиды височной костиPathologies of petrous apexДиабХ. М.А.DiabKh. M.A.

г. Москва

Moscow

ДайхесН. А.DaikhesN. A.

г. Москва

 

Moscow

ПащининаО. А.PashininaO A.

г. Москва

Moscow

ШамхаловаА. М.ShamkhalovaA. M.

Аминат Муслимовна Шамхалова

ул. Климашкина д. 12, кв. 38, г. Москва, 123557

Aminat M. Shamkhalova

Klimashkina, 12–38, Moscow, 123557

aminaphd@mail.ruПанинаО. С.PaninaO. S.

г. Москва

Moscow

Национальный медицинский исследовательский центр оториноларингологии Федерального медико-биологического агентства; Российский национальный исследовательский медицинский университет имени Н. И. ПироговаРоссияNational Medical Research Center for Otorhinolaryngology of the Federal Medial Biological Agency; Pirogov Russian National Research Medical UniversityRussian FederationНациональный медицинский исследовательский центр оториноларингологии Федерального медико-биологического агентстваРоссияNational Medical Research Center for Otorhinolaryngology of the Federal Medial Biological AgencyRussian Federation2022261020242431318Copyright © Диаб Х.М., Дайхес Н.А., Пащинина О.А., Шамхалова А.М., Панина О.С., 20242024Диаб Х.М., Дайхес Н.А., Пащинина О.А., Шамхалова А.М., Панина О.С.Diab K.M., Daikhes N.A., Pashinina O.A., Shamkhalova A.M., Panina O.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.extrememedicine.ru/jour/article/view/141

Представлен обзор публикаций, посвященных изучению различных новообразований, диагностики, выбора хирургического доступа, осложнений и частоты рецидивирования патологии верхушки пирамиды височной кости за период с 2008 по 2022 г. Наиболее распространенной доброкачественной патологией верхушки пирамиды височной кости являются выпот, мукоцеле, холестериновая гранулема, холестеатома. При лечении чаще всего используют такие хирургические доступы, как транслабиринтный, транскохлеарный, эндоскопический эндоназальный и доступ через среднюю черепную ямку. Для пациентов с сохранной слуховой функцией рекомендовано использование доступов через среднюю черепную ямку, инфракохлеарного, либо эндоскопического трансназального доступов. В случае распространенных патологических процессов, когда необходим дополнительный контроль сонной артерии и луковицы яремной вены, могут быть использованы транскохлеарный либо транслабиринтный хирургические коридоры.

The review of papers, focused on studying various neoplasms, diagnosis, selection of surgical approach, complications, and recurrence rates of the petrous apex lesions, that have been published in 2008–2022, is provided. Effusion, mucocele, cholesterol granuloma, cholesteatoma are the most common benign lesions of the petrous apex. Such surgical approaches as translabyrinthine, transcochlear, endoscopic endonasal approach and the middle cranial fossa approach are most often used during treatment. The middle cranial fossa approach, infracochlear approach and endoscopic transnasal approach are recommended for patients with preserved hearing. In case of disseminated lesions, when the carotid artery and the jugular bulb should be additionally controlled, transcochlear and translabyrinthine surgical corridors could be used.

верхушка пирамиды височной костиновообразованиесредняя черепная ямкахирургический доступоснование черепавнутренняя сонная артериялицевой нервликвореяосложненияхолестеатомахолестериновая гранулемавыпотдиагностика.petrous apexneoplasmmiddle cranial fossasurgical approachskull baseinternal carotid arteryfacial nerveliquorrheacomplicationscholesteatomacholesterol granulomaeffusiondiagnosisReferencesEytan DF, Kshettry VR, Sindwani R, Woodard TD, Recinos PF. Surgical outcomes after endoscopic management of cholesterol granulomas of the petrous apex: a systematic review. Neurosurg Focus. 2014; 37 (4): E14. DOI: 10.3171/2014.7.FOCUS14344. PMID: 25270133.Eytan DF, Kshettry VR, Sindwani R, Woodard TD, Recinos PF. Surgical outcomes after endoscopic management of cholesterol granulomas of the petrous apex: a systematic review. Neurosurg Focus. 2014; 37 (4): E14. DOI: 10.3171/2014.7.FOCUS14344. PMID: 25270133.Mehta GU, Raza SM. 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The authors declare that there are no conflicts of interest present.