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European Archives of Oto-Rhino-Laryngology

Erschienen in:

02.11.2023 | Otology

Endoscopic approach to geniculate ganglion: a multicentric experience

verfasst von: Giulia Molinari, Edoardo Serafini, Alice Barbazza, Daniele Marchioni, Livio Presutti, Federica Nizzoli, Elena Reggiani, Monica Guidotti, Aurora Borghi, Ignacio Javier Fernandez

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 4/2024

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Abstract

Purpose

A variety of lesions could arise from the GG area, or extend into this region from adjacent sites. The management of perigeniculate lesions includes observation, surgery, and radiation, according to the nature, the size of the lesion, and the accompanying symptoms. Preliminary experiences on the exclusive transcanal endoscopic approach to the GG area have shown safety and feasibility avoiding of any postauricular incision, or brain manipulation. The experience from two referral centers on patients treated for a GG lesion with a totally endoscopic approach is herein reported.

Methods

Data about patients who underwent exclusive endoscopic approach to the GG area at the Otolaryngology Departments of the University Hospitals of Modena and Bologna between May 2017 and February 2022 were retrospectively collected.

Results

The total number of patients included in our study was 11. 10 patients (91%) had progressive unilateral facial paralysis and 1 patient (11%) presented with chronic otorrhea. The mean largest diameter of the treated lesions was of 8 mm. The resection was extended to the fundus of the IAC in 2 patients (expanded approach). The remaining 9 patients (82%) underwent partial ossicular replacement prosthesis (PORP). No major complications occurred. Facial nerve outcomes were good in all patients and the mean ABG worsened from 12 dB pre-operatively to 22 dB post-operatively.

Conclusions

The exclusively endoscopic approach to GG lesions represents a viable alternative to traditional microscopic approaches and may be included in the armamentarium of ear surgeons.

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Titel: Endoscopic approach to geniculate ganglion: a multicentric experience
verfasst von: Giulia Molinari
Edoardo Serafini
Alice Barbazza
Daniele Marchioni
Livio Presutti
Federica Nizzoli
Elena Reggiani
Monica Guidotti
Aurora Borghi
Ignacio Javier Fernandez
Publikationsdatum: 02.11.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: European Archives of Oto-Rhino-Laryngology / Ausgabe 4/2024
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-023-08294-1

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Endoscopic approach to geniculate ganglion: a multicentric experience