Petrous apicitis u Managements Antimicrobials directed against the most likely pathogens. If hearing present in the affected ear, otic capsule should be preserved while effective drainage achieved riht osseous labyrinth rewr pt prater priOr on floor of skull natulan nl Ia ial na retrolabyrinthine Pane ol ant rio twoa infralabyrinthine intracochlear approachs can gain access to the petrous apex toten opening olPetrous apicitis ◼ Managements ◼ Antimicrobials directed against the most likely pathogens. ◼ If hearing present in the affected ear, otic capsule should be preserved while effective drainage achieved ◼ retrolabyrinthine, infralabyrinthine, infracochlear approachs can gain access to the petrous apex