Journal ArticleDOI
Middle Fossa Vestibular Neurectomy: A Report of 373 Cases
TLDR
Long-term hearing and vestibular results using this approach for Meniere's disease have been encouraging, and the small incidence of postoperative complications have made the operation extremely useful.Abstract:
The surgical technique for vestibular neurectomy through the middle fossa approach is described. Surgical details, including the use of a new middle fossa retractor, are discussed. A variety of technical refinements have been made to improve and shorten the operation. The main surgical indication is for Meniere's disease. It has, however, also been used in other peripheral vestibular problems such as traumatic vertigo and vertigo secondary to previous ear surgery. Long-term hearing and vestibular results using this approach for Meniere's disease have been encouraging. These results, in addition to the small incidence of postoperative complications, have made the operation extremely useful.read more
Citations
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Journal ArticleDOI
Enlarged middle fossa vestibular schwannoma surgery: experience with 735 cases.
TL;DR: The EMFA is an excellent low-morbidity approach for VS removal with limited cerebellopontine angle extension and specific advantages of the EMFA are the superior internal auditory canal exposure, resulting in an extremely low tumor recurrence rate; best capability for hearing preservation; and minimal incidence of cerebrospinal fluid leaks.
Journal ArticleDOI
Variability of the Surgical Anatomy of the Neurovascular Complex of the Cerebellopontine Angle
TL;DR: The variability of the anatomic relationship of the anterior inferior cerebellar artery to the facial and vestibulocochlear nerves was studied and the importance of understanding the surgical anatomy of the neurovascular complex of the CPA when performing a vestibular neurectomy is reviewed.
Journal ArticleDOI
Middle fossa approach: microsurgical anatomy and surgical technique from the neurosurgical perspective
Necmettin Tanriover,Galip Zihni Sanus,Mustafa Onur Ulu,Taner Tanriverdi,Ziya Akar,Pablo Rubino,Albert L. Rhoton +6 more
TL;DR: The surgical technique for themiddle fossa approach which includes an anterior-to-posterior elevation of middle fossa dura starting from the foramen ovale and uses the angle between the IAM and the long axis of the GSPN to localize the meatus from above may be an alternative to previously proposed surgical methods.
Journal ArticleDOI
A Century of Eighth Nerve Surgery
TL;DR: The introduction and progressive refinement of eighth nerve section played a central role in the evolution of operative neurotology and prompted many of the most vigorous debates of recent years.
Journal ArticleDOI
Middle fossa approach: indications, technique, and results.
TL;DR: The indications, surgical technique, results, and complications of middle fossa craniotomy (MFC) for vestibular schwannoma surgery are discussed, focusing on issues such as serviceable hearing, tumor characteristics, and patient-specific factors that help determine options for therapy.
References
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Journal ArticleDOI
Surgical exposure of the internal auditory canal and its contents through the middle, cranial fossa.
Journal Article
Transtemporal surgery of the internal auditory canal. Report of 92 cases, technique, indications and results.
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Ménière's disease: its diagnosis and a method of treatment
TL;DR: The purpose of this communication is to present the results of an operation which I believe will permanently cure the symptoms of Meniere's disease, section of the auditory nerve intracranially.