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Extradural petrous bone and petroclival neoplasms
L N Sekhar1, S Pomeranz, C N Sen
1Department of Neurosurgery, University of Pittsburgh School of Medicine, Presbyterian-University Hospital, Pennsylvania.
Acta Neurochirurgica. Supplementum
|January 1, 1991
Summary
Surgery for extradural petroclival tumors, often benign, shows good outcomes. Precise surgical planning and anatomical knowledge are key for successful treatment and low recurrence rates.
Area of Science:
- Neurosurgery
- Oncology
Background:
- Extradural petroclival tumors present diverse histological and anatomical features.
- Surgical approaches vary based on tumor characteristics.
Purpose of the Study:
- To present the University of Pittsburgh's experience with 68 extradural petroclival tumors.
- To emphasize the efficacy of basal subfrontal and lateral surgical approaches.
Main Methods:
- Retrospective review of 68 surgically treated extradural petroclival tumors.
- Focus on basal subfrontal and lateral surgical techniques.
Main Results:
- 85% of tumors were benign or low-grade malignancies.
- 62% of these tumors achieved total resection.
- Recurrence rate was 5.4%, with operative mortality at 1.5% and major morbidity at 3%.
Conclusions:
- Well-planned surgical intervention, guided by precise anatomical knowledge and imaging, is fundamental for treating petroclival tumors.
- Basal subfrontal and lateral approaches are effective for these tumors.