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The investigation and management of petrous apex ersion

Published online by Cambridge University Press:  29 June 2007

L. M. Flood ,
J. L. Kemink  and
M. D. Graham
L. M. Flood*
Affiliation:
TWJ Foundation Clinical and Research Fellow 1983.
J. L. Kemink
Affiliation:
Assistant Professor of Otolaryngology, Head and Neck Surgery, University of Michigan Medical School, Ann Arbor Michigan.
M. D. Graham
Affiliation:
Professor, Department of Otolaryngology, Head and Neck Surgery, University of Michigan Medical School, Ann Arbor Michigan.
*
Liam M. Flood, F.R.C.S., Royal Ear Hospital, University College Hospital, Capper Street, London WC1E 6AU.
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Abstract

Disease of the apex of the petrous temporal bone, while rarely encountered, can present a unique challenge to the otologist. Lesions tend to be advanced at presentation, as massive bony erosion can remain asymptomatic. When symptoms occur, they reflect involvement of the neurovascular contents of the temporal bone. The earliest clinical features, such as headache, facial numbness and middle-ear effusion, do not immediately suggest the site or gravity of the underlying pathology. Anterior extension of disease may produce ophthalmoplegia and diplopia whilst posterior spread involves the lower cranial nerves, within the internal auditory canal, jugular foramen and hypoglossal canal.

Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 99 , Issue 5 , May 1985 , pp. 439 - 450
Copyright
Copyright © JLO (1984) Limited 1985

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