Surgical Management of Bilateral Vestibular Schwannomas (Acoustic Neurinomas)

2015 ◽  
pp. 859-865
Author(s):  
Marcos Tatagiba ◽  
Madjid Samii
2012 ◽  
Vol 73 (S 02) ◽  
Author(s):  
J. Tysome ◽  
R. MacFarlane ◽  
J. Durie-Gair ◽  
N. Donnelly ◽  
R. Mannion ◽  
...  

1980 ◽  
Vol 6 (sup10) ◽  
pp. 62-64
Author(s):  
Ugo Fisch ◽  
Herman A. Jenkins

1984 ◽  
Vol 93 (4_suppl) ◽  
pp. 59-62
Author(s):  
William W. Montgomery

Surgery for resection of acoustic neurinomas (vestibular schwannomas) has been performed by way of the middle fossa craniotomy, suboccipital route, and translabyrinthine operation. The author has preferred the translabyrinthine operation for small tumors (less than 2 cm) for patients with poor hearing and the suboccipital approach for large tumors and for small tumors when attempting to preserve hearing. This paper proposes an operation designed for better tumor removal results, an improved technique for preservation of hearing, and fewer complications. During the first part of the operation, the posterior fossa dura posterior to the labyrinth, and also bound by the superior petrosal and sigmoid venous sinuses, is exposed by the mastoidectomy route. The mastoid is obliterated with adipose tissue. The suboccipital route is then used to resect large tumors and small tumors when attempting to preserve hearing. This operation would 1) facilitate dissection of the internal auditory meatus, 2) reduce chance for injury to the labyrinth with a resulting total hearing loss, and 3) eliminate the rather frequent (less than 10%) incidence of postoperative CSF otorhinorrhea and its complications.


2013 ◽  
Vol 74 (S 01) ◽  
Author(s):  
A. Zomorodi ◽  
Y. Nonaka ◽  
A. Friedman ◽  
J. Sampson ◽  
T. Fukushima

2012 ◽  
Vol 01 (01) ◽  
pp. 009-013 ◽  
Author(s):  
Amir Samii ◽  
Venelin Gerganov ◽  
Madjid Samii

Abstract Vestibular schwannomas (VS) are the most common tumors of the cerebellopontine angle (CPA). Their surgical management has reached high standards in the last decade. Treatment options for VS are microsurgical removal or Radiosurgery. The following three basic operative approaches are currently utilized: Retrosigmoid approach (RSA), translabyrinthine and middle fossa approach. The following article elaborates the operative technique by the senior author based on his vast experience of VS surgery formed over the last three decades; during which period he has operated more than 3500 of such patients


1994 ◽  
Vol 108 (7) ◽  
pp. 545-550 ◽  
Author(s):  
Maged B. Naguib ◽  
Essam Saleh ◽  
Yasar Cokkeser ◽  
Miguel Aristegui ◽  
Mauro Landolfi ◽  
...  

AbstractThis study was carried out to validate the enlarged translabyrinthine approach for the surgical management of large vestibular schwannomas. A retrospective review of the charts of 53 patients with large tumours removed via the enlarged translabyrinthine approach at the Gruppo Otologico, Piacenza, Italy, during the last five years was carried out. The ability to control large tumours and the achievement of total removal with low morbidity and very few complications, demonstrate that tumour size does not influence the use of the enlarged translabyrinthine approach for managing large tumours.


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