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    15 views11 pages

    Acoustic Neuromas

    Uploaded by

    Sebastian
    .

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 11
    Copyright © 2004, Barrow Neurological Institute Surgical Approaches for Resection of Acoustic Neuromas L. Fernando Gonzalez, Mo Gregory P. Lekovic, MD, PRD, JO Randall W. Porter, MD Mark J. Syms, mot C. Phillip Daspit, mot Robert F. Spetzler, Mo The internal auditory canal can be accessed through different surgical ap- proaches based on different trajectories. This article describes the progressive Widening of the posterior trajectory that begins with progressive driling of the ;petrous bone (the retrosigmoid approach). Amore lateral trajectory that attacks the tumor trom a lateral (the translabyrinthine approach) and superiorinferior ap- proach (the middle fossa approach) is then described. Imaging and relevant Clinical information such as hearing status, facial nerve compromise, and tumor size are key considerations when selecting an approach to acoustic neuromas. Key Words: acoustic neuromas, middle fossa approach, partial labyrin- ‘thectomy, retrosigmoid, transcochlear, translabyrinthine, transpetrosal Division of Neurological Surgery and Section of Neurotology, Barrow Neurological Institute, St.

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