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NASBS

North American Skull Base Society

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2025 Proffered Presentations

2025 Proffered Presentations

 

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V050: COMBINED PETROSECTOMY, TRANS ZYGOMATIC APPROACH, AND FACIAL NERVE DECOMPRESSION FOR RESECTION OF A GIANT ANEURYSMAL BONE CYST IN A 5-YEAR-OLD PATIENT
Wesley Shoap, MD1; Ayment Kabir, BS2; Maximiliano Nunez, MD3; Jeffrey Sharon, MD4; Ivan El-Sayed, MD4; Ezequiel Goldschmidt, MD, PhD5; 1LSU New Orleans School of Medicine Department of Neurosurgery; 2University of California San Francisco School of Medicine; 3Stanford University School of Medicine Department of Neurosurgery; 4University of California San Francisco School of Medicine Department of Otorhinolaryngology; 5University of California San Francisco School of Medicine Department of Neurosurgery

This operative video showcases a 5-year-old male with no significant medical history who presented with personality changes and right-side facial palsy. Imaging showed a multi-cystic right temporal mass with the invasion of the mastoid, middle ear, internal auditory canal, temporal and infratemporal fossa. A right temporal craniotomy, trans-zygomatic approach, combined petrosectomy, and facial nerve decompression with closure of the external auditory canal was performed. Post-op his facial nerve palsy improved from III/VI to II/VI. 

 

 

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