Abstract
A subset of patients with acoustic neuromas and useful hearing have tumors that are inadequately approached by both middle fossa and retrosigmoid techniques. The enhanced retrosigmoid technique combines the hearing preservation of posterior semicircular canal ablation to achieve lateral internal auditory canal exposure with the ample cerebellopontine angle exposure of the standard retrosigmoid technique.
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References
1.
Shelton
C
Brackmann
D
House
W
Middle fossa acoustic tumor surgery: Results in 106 cases .
Laryngoscope
1989 ;99 :405 –8 .
2.
Jackler
RK
Overview of surgical neurotology . In:
Jackler
RK
Brackmann
DE
, Eds. Neurotology . Mosby-Year
Book, Inc. ,
1994 :651 –84 .
3.
Pames
LS
Mcclure
JA
Posterior semicircular canal occlusion in the normal hearing
ear . Otolaryngol Head Neck Surg
1991 ;104 :52 –7 .
4.
Malony
TB
Kwartler
JA
House
WF
Extended middle fossa and retrolabyrinthine approaches in acoustic neuroma
surgery: Case reports . Am J Otol
1992 ;13 :360 –3 .
5.
Hirsch
BE
Cass
SP
Sekhar
LN
Translabyrinthine approach to skull base tumors with hearing
preservation . Am J Otol
1993 ;14 :533 –43 .
6.
Mcelveen
JT
Wilkins
RH
Erwin
A
Modifying the translabyrinthine approach to preserve hearing during
acoustic tumor surgery . J Laryngol Otol
1991 ;105 :34 –7 .