Endoscopic Section of the Vestibular Nerve by Transpyramidal Retrolabyrinthine Approach in M�ni�re�s Disease

To Abandon or Not Abandon: Antesigmoid Craniotomy with Retrolabyrinthine Vestibular Nerve Section

Ear Nose & Throat Journal ◽

10.1177/014556139607500208 ◽

1996 ◽

Vol 75 (2) ◽

pp. 90-93 ◽

Cited By ~ 1

Author(s):

Charles M. Luetje ◽

C. Keith Whittaker ◽

Patricia Gentner

Keyword(s):

Abdominal Fat ◽

Prophylactic Antibiotics ◽

Vestibular Nerve ◽

Csf Leak ◽

Average Hospital Stay ◽

Nerve Section ◽

Average Hospital ◽

Dural Closure ◽

Viiith Nerve ◽

Retrolabyrinthine Approach

Increasing popularity of the retrosigmoid approach would have one believe this is the preferred posterior fossa approach for a vestibular nerve section. The authors take issue with this. The antesigmoid posterior lateral retrolabyrinthine approach is a gentle craniotomy, easily performed and with low morbidity. A review of 70 consecutive cases revealed no procedural alteration because of surgical exposure, an absence of meningitis, no VIIth nerve weakness, minimal headache, average hospital stay of five days, and only one patient with a significant CSF leak. Hyperventilation anesthesia, patience during delicate VIIIth nerve exposure, incorporation of abdominal fat into dural closure sutures and prophylactic antibiotics have made this operation easy for the patient…and the surgeon. Don't abandon it!

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Retrolabyrinthine approach to the vestibular nerve

Operative Techniques in Otolaryngology-Head and Neck Surgery ◽

10.1016/s1043-1810(10)80223-4 ◽

1991 ◽

Vol 2 (1) ◽

pp. 23-25 ◽

Cited By ~ 1

Author(s):

John L. Kemink ◽

John K. Niparko ◽

Alan W. Langman

Keyword(s):

Vestibular Nerve ◽

Retrolabyrinthine Approach

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Retrolabyrinthine Vestibular Nerve Section: A Current Appraisal

Ear Nose & Throat Journal ◽

10.1177/014556139707600816 ◽

1997 ◽

Vol 76 (8) ◽

pp. 578-583 ◽

Cited By ~ 7

Author(s):

Miguel Aristegui ◽

Yasar Cokkeser ◽

Rinaldo F. Canalis ◽

Fernando Mancini ◽

Mario Sanna ◽

...

Keyword(s):

Success Rate ◽

Current Literature ◽

Vestibular Nerve ◽

Nerve Section ◽

Vestibular Neurectomy ◽

Anatomical Features ◽

Successful Technique ◽

Continued Use ◽

Retrolabyrinthine Approach ◽

A Current

We report our experience (1987-1993) with Meniere's disease patients treated with a retrolabyrinthine vestibular neurectomy. The current literature was reviewed and our results have been compared with those of previous reports. The overall success rate for vertigo relief was 96.7%, with no serious or permanent complications resulting from the procedure. The technical elements of the operation, as they apply to our approach and those of others, have been analyzed, with special attention given to the anatomical features of the region and their influence on success or failure. We conclude that the retrolabyrinthine approach for vestibular nerve section remains a safe and highly successful technique which merits continued use.

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