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.

Endoscopic approach to geniculate ganglion: a multicentric experience / Molinari, Giulia; Serafini, Edoardo; Barbazza, Alice; Marchioni, Daniele; Presutti, Livio; Nizzoli, Federica; Reggiani, Elena; Guidotti, Monica; Borghi, Aurora; Fernandez, Ignacio Javier. - In: EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY AND HEAD & NECK. - ISSN 1434-4726. - ELETTRONICO. - 2023 nov 2 epub ahead of print:(2023), pp. 1-11. [10.1007/s00405-023-08294-1]

Endoscopic approach to geniculate ganglion: a multicentric experience

Molinari, Giulia
Primo
Writing – Original Draft Preparation
;
Serafini, Edoardo
Data Curation
;
Barbazza, Alice
Writing – Original Draft Preparation
;
Presutti, Livio
Supervision
;
Guidotti, Monica
Data Curation
;
Fernandez, Ignacio Javier
Ultimo
Conceptualization
2023

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.
2023
Endoscopic approach to geniculate ganglion: a multicentric experience / Molinari, Giulia; Serafini, Edoardo; Barbazza, Alice; Marchioni, Daniele; Presutti, Livio; Nizzoli, Federica; Reggiani, Elena; Guidotti, Monica; Borghi, Aurora; Fernandez, Ignacio Javier. - In: EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY AND HEAD & NECK. - ISSN 1434-4726. - ELETTRONICO. - 2023 nov 2 epub ahead of print:(2023), pp. 1-11. [10.1007/s00405-023-08294-1]
Molinari, Giulia; Serafini, Edoardo; Barbazza, Alice; Marchioni, Daniele; Presutti, Livio; Nizzoli, Federica; Reggiani, Elena; Guidotti, Monica; Borghi, Aurora; Fernandez, Ignacio Javier
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/950818
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