• Neurosurgery · Feb 2004

    Review

    Translabyrinthine approach for acoustic neuroma.

    • John Diaz Day, Douglas A Chen, and Moises Arriaga.
    • Department of Neurosurgery, Drexel University College of Medicine, Philadelphia, Pennsylvania, USA.
    • Neurosurgery. 2004 Feb 1; 54 (2): 391-5; discussion 395-6.

    AbstractThe translabyrinthine approach has been popularized during the past 30 years for the surgical treatment of acoustic neuromas. It serves as an alternative to the retrosigmoid approach in patients when hearing preservation is not a primary consideration. Patients with a tumor of any size may be treated by the translabyrinthine approach. The corridor of access to the cerebellopontine angle is shifted anteriorly in contrast to the retrosigmoid approach, resulting in minimized retraction of the cerebellum. Successful use of the approach relies on a number of technical nuances that are outlined in this article.

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