Anterior Petrosectomy: Consecutive Series of 46 Patients with Attention to Approach-Related Complications
Document Type
Article
Publication Date
2015
Keywords
anterior petrosectomy, morbidity, operative technique
Digital Object Identifier (DOI)
https://doi.org/10.1055/s-0034-1543971
Abstract
Objective: Anterior petrosectomy(AP) was popularized in the 1980s and 1990s as micro-neurosurgery proliferated. Original reports concentrated on the anatomy of the approach and small case series. Recently, with the advent of additional endonasal approaches to the petrous apex, the morbidity of AP remains unclear. This report details approach-related morbidity around and under the temporal lobe.
Methods: A total of 46 consecutive patients identified from our surgical database were reviewed retrospectively.
Results: Of the 46 patients, 61% were women. Median age of the patients was 50 years (mean: 48 ± 2 years). Median follow-up of this cohort was 66 months. Most procedures dealt with intradural pathology (n = 40 [87%]). Approach-related morbidity consisted of only two patients (4%) with new postoperative seizures. There were only two significant postoperative hemorrhages (4%). Cerebrospinal fluid leakage occurred in two patients (4%) requiring reoperation.
Conclusion: Approach-related complications such as seizures and hematoma were infrequent in this series, < 4%. This report describes a contemporary group of patients treated with open AP and should serve as a comparison for approach-related morbidity of endoscopic approaches. Given the pathologies treated with this approach, the morbidity appears acceptable.
Was this content written or created while at USF?
Yes
Citation / Publisher Attribution
Journal of Neurological Surgery Part B, v. 76, issue 5, p. 379-384
Scholar Commons Citation
Van Gompel, Jamie J.; Alikhani, Puya; Youssef, A. Samy; van Loveren, Harry; Boyev, K. Paul; and Agazzi, Sivero, "Anterior Petrosectomy: Consecutive Series of 46 Patients with Attention to Approach-Related Complications" (2015). Neurosurgery and Brain Repair Faculty Publications. 51.
https://digitalcommons.usf.edu/nbr_facpub/51
