A stepwise illustration of the translabyrinthine approach to a large cystic vestibular schwannoma.

ABSTRACT: Of the presigmoid approaches, the translabyrinthine approach is often used when a large exposure is needed to gain access to the cerebellopontine angle but when hearing preservation is not a concern. At the authors' institution, this approach is done with the aid of ENT/otolaryngology for temporal bone drilling and exposure. In the present article and video, the authors demonstrate the use of the translabyrinthine approach for resection of a large cystic vestibular schwannoma, delineating the steps of positioning, opening, temporal bone drilling, tumor resection, and closure. Gross-total resection was achieved in the featured case. The patient's postoperative facial function was House-Brackmann Grade II on the side ipsilateral to the tumor, although function improved with time. The tra

SUBMITTER: Nickele CM 

PROVIDER: S-EPMC3675780 | biostudies-literature | 2012 Sep

REPOSITORIES: biostudies-literature