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Novel Application of Steroid Eluting Stent in Petrous Apex Cholesterol Granuloma.

Publication ,  Journal Article
Choi, KJ; Jang, DW; Zomorodi, AR; Codd, PJ; Friedman, A; Abi Hachem, R
Published in: J Neurol Surg B Skull Base
October 2019

Objective  This study describes the safety and efficacy of mometasone furoate eluting stents in the management of petrous apex cholesterol granuloma approached through an endonasal endoscopic route and assesses the restenosis rate. Methods  Consecutive patients undergoing endoscopic endonasal marsupialization of a petrous apex cholesterol granuloma at a tertiary referral center who had a mometasone furoate eluting stent placed intraoperatively were reviewed in a retrospective fashion. Postoperative endoscopy was used to determine success of surgery and stenting. Results  Five patients were included in the study, three were primary cases and two patients had revision surgeries performed. The steroid eluting stent was placed successfully and safely in all patients with no dural or vascular injuries. The average follow-up duration was 10.6 months. There was no restenosis in three patients and one patient had an immediate restenosis that was debrided in clinic (revision case). This was patent at the 16 months follow-up. One patient also developed stenosis, 4 months after surgery due to sphenoid sinusitis. Conclusion  Mometasone furoate eluting stents are safe and effective in the primary management of petrous apex cholesterol granuloma. Further studies are needed to assess their efficacy in revision cases and for long term results.

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Published In

J Neurol Surg B Skull Base

DOI

ISSN

2193-6331

Publication Date

October 2019

Volume

80

Issue

5

Start / End Page

500 / 504

Location

Germany

Related Subject Headings

  • Neurology & Neurosurgery
  • 3203 Dentistry
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
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Choi, K. J., Jang, D. W., Zomorodi, A. R., Codd, P. J., Friedman, A., & Abi Hachem, R. (2019). Novel Application of Steroid Eluting Stent in Petrous Apex Cholesterol Granuloma. J Neurol Surg B Skull Base, 80(5), 500–504. https://doi.org/10.1055/s-0038-1675751
Choi, Kevin J., David W. Jang, Ali R. Zomorodi, Patrick J. Codd, Allan Friedman, and Ralph Abi Hachem. “Novel Application of Steroid Eluting Stent in Petrous Apex Cholesterol Granuloma.J Neurol Surg B Skull Base 80, no. 5 (October 2019): 500–504. https://doi.org/10.1055/s-0038-1675751.
Choi KJ, Jang DW, Zomorodi AR, Codd PJ, Friedman A, Abi Hachem R. Novel Application of Steroid Eluting Stent in Petrous Apex Cholesterol Granuloma. J Neurol Surg B Skull Base. 2019 Oct;80(5):500–4.
Choi, Kevin J., et al. “Novel Application of Steroid Eluting Stent in Petrous Apex Cholesterol Granuloma.J Neurol Surg B Skull Base, vol. 80, no. 5, Oct. 2019, pp. 500–04. Pubmed, doi:10.1055/s-0038-1675751.
Choi KJ, Jang DW, Zomorodi AR, Codd PJ, Friedman A, Abi Hachem R. Novel Application of Steroid Eluting Stent in Petrous Apex Cholesterol Granuloma. J Neurol Surg B Skull Base. 2019 Oct;80(5):500–504.
Journal cover image

Published In

J Neurol Surg B Skull Base

DOI

ISSN

2193-6331

Publication Date

October 2019

Volume

80

Issue

5

Start / End Page

500 / 504

Location

Germany

Related Subject Headings

  • Neurology & Neurosurgery
  • 3203 Dentistry
  • 1103 Clinical Sciences