Lateral approaches to the median skull base through the petrous bone: the system of the modified transcochlear approach

Journal of Laryngology and Otology - Tập 108 Số 12 - Trang 1036-1044 - 1994
Mario Sanna1, Antonio Mazzoni2, M Sanna3, A Taibah1, Alessandra Russo1
1Gruppo Otologico, Piacenza, Italy
2Department of ENT, Ospedale Riuniti, Bergamo, Italy
3Department of Otolaryngology, Faculty of Medicine, Alexandria University, Egypt. (Dr Saleh is at present Clinical Research Fellow at the Gruppo Otologico, Piacenza, Italy

Tóm tắt

AbstractTwenty-three patients with intradural lesions of the petroclival region and prepontine cistern were managed in our centres by the modified transcochlear approach. Total tumour removal was accomplished in 17 patients, while a second stage was planned for the remaining six patients. Two cases died in the immediate postoperative period. All the remaining cases showed a good outcome and returned to work. The basic approach type A is further classified according to its anterior, superior and inferior extension into types B, C and D respectively. The surgical procedure, classification, illustrative case reports and patients' summaries are presented.

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Tài liệu tham khảo

Thedinger, 1992, Transcochlear transtentorial approach for removal of large cerebellopontine angle meningiomas, American Journal of Otology, 13, 408

Mazzoni A. , Sanna M. (1992) The petro-occipital trans-sigmoid approach to the postero-lateral skull base. Results and indications. Presented at the 3rd Annual Meeting of the North American Skull Base Society,Acapulco,Mexico, February 15–20.

Sanna M. , Mazzoni A. (1992) The modified transcochlear approach to the tumours of the petroclival area and prepontine cistern. Presented at the 3rd Annual Meeting of the North American Skull Base Society. February 15–20,Acapulco,Mexico.

10.3171/jns.1988.69.6.0887

10.1177/019459989411000408

10.1288/00005537-199101000-00002

10.1001/archotol.1976.00780110046004

10.1017/S0022215100086382

10.1007/BF01793075

10.1227/00006123-198611000-00014

10.1055/s-2008-1056978

House, 1986, The middle fossa transpetrous approach to the anterior-superior cerebellopontine angle, American Journal of Otology, 7, 1

10.1227/00006123-198803000-00010

10.1177/019459989110400108

Krespi, 1986, Skull base chordomas, Otolaryngologic Clinics of North America, 19, 797, 10.1016/S0030-6665(20)31722-9

10.2176/nmc.17pt1.63

10.1055/s-2008-1060575

Jenkins, 1980, The transotic approach to resection of difficult acoustic tumors of the cerebellopontine angle, American Journal of Otology, 2, 70

10.1177/019459989110500604

Mirimanoff, 1985, Meningioma: analysis of recurrence and progression following neurosurgical resection, Journal of Neurosurgery, 22, 510

10.1177/019459988509300202