Book contents
- Integrated Management of Complex Intracranial Lesions
- Integrated Management of Complex Intracranial Lesions
- Copyright page
- Dedication
- Contents
- Contributors
- Foreword
- Section I Endoscopic Endonasal (EN) Combined Approaches
- Section II Open Combined Approaches
- Chapter 6 Combined Transcranial Approach for Tumor Resection and Anterior Circulation Vascular Bypass
- Chapter 7 Hybrid/Combined Strategies for Vestibular Schwannomas
- Chapter 8 Transchoroidal, Subchoroidal, and Combined Approaches to the Third Ventricle
- Chapter 9 Combined Orbitofrontal Craniotomy and Direct Orbital Decompression
- Chapter 10 Transbasal and Transfacial Approach for Paranasal and Anterior Cranial Fossa Tumors
- Chapter 11 Combined Middle Fossa Craniotomy and Mastoidectomy for Cerebrospinal Fluid Leak Repair and Encephalocele Resection
- Chapter 12 Transcochlear and Extended/Combined Transcochlear Approaches for Complex Tumors of the Skull Base and Posterior Cranial Fossa
- Chapter 13 Combined Retrosigmoid and Orbitozygomatic Approach
- Chapter 14 Combined Retrosigmoid and Limited Anterior Petrosectomy (“Reverse Petrosectomy”)
- Chapter 15 Combined Suboccipital Craniotomy and Neck Dissection
- Chapter 16 Combined Petrosal Approach
- Chapter 17 Combined Keyhole Paramedian Supracerebellar-Transtentorial Approach
- Chapter 18 Combined Multi-portal “Pull-Through” Keyhole Craniotomy
- Chapter 19 Combined Keyhole Craniotomies for Multifocal or Multiple Lesions
- Chapter 20 Combined Microsurgical and Endovascular Treatment of Cerebrovascular and Skull Base Pathology
- Chapter 21 Combined Transsylvian-Subtemporal Approach to Anterior Circulation and Basilar Apex Aneurysms
- Index
- References
Chapter 13 - Combined Retrosigmoid and Orbitozygomatic Approach
from Section II - Open Combined Approaches
Published online by Cambridge University Press: 05 October 2021
Edited by
Book contents
- Integrated Management of Complex Intracranial Lesions
- Integrated Management of Complex Intracranial Lesions
- Copyright page
- Dedication
- Contents
- Contributors
- Foreword
- Section I Endoscopic Endonasal (EN) Combined Approaches
- Section II Open Combined Approaches
- Chapter 6 Combined Transcranial Approach for Tumor Resection and Anterior Circulation Vascular Bypass
- Chapter 7 Hybrid/Combined Strategies for Vestibular Schwannomas
- Chapter 8 Transchoroidal, Subchoroidal, and Combined Approaches to the Third Ventricle
- Chapter 9 Combined Orbitofrontal Craniotomy and Direct Orbital Decompression
- Chapter 10 Transbasal and Transfacial Approach for Paranasal and Anterior Cranial Fossa Tumors
- Chapter 11 Combined Middle Fossa Craniotomy and Mastoidectomy for Cerebrospinal Fluid Leak Repair and Encephalocele Resection
- Chapter 12 Transcochlear and Extended/Combined Transcochlear Approaches for Complex Tumors of the Skull Base and Posterior Cranial Fossa
- Chapter 13 Combined Retrosigmoid and Orbitozygomatic Approach
- Chapter 14 Combined Retrosigmoid and Limited Anterior Petrosectomy (“Reverse Petrosectomy”)
- Chapter 15 Combined Suboccipital Craniotomy and Neck Dissection
- Chapter 16 Combined Petrosal Approach
- Chapter 17 Combined Keyhole Paramedian Supracerebellar-Transtentorial Approach
- Chapter 18 Combined Multi-portal “Pull-Through” Keyhole Craniotomy
- Chapter 19 Combined Keyhole Craniotomies for Multifocal or Multiple Lesions
- Chapter 20 Combined Microsurgical and Endovascular Treatment of Cerebrovascular and Skull Base Pathology
- Chapter 21 Combined Transsylvian-Subtemporal Approach to Anterior Circulation and Basilar Apex Aneurysms
- Index
- References
Summary
Neurosurgical lesions that span the supratentorial and infratentorial compartments can pose a significant challenge. Although these lesions are traditionally addressed using transpetrosal approaches, skull base principles can be maintained and successful resection achieved with the combination of less extensive surgical approaches. Through the combination of the orbitozygomatic and retrosigmoid approaches, the vast majority of anterior, middle, and posterior fossa pathology can be successfully resected. Over the past two decades at our institution, the orbitozygomatic and retrosigmoid approaches have largely replaced the more traditional transpetrosal approaches, with the combined two-stage orbitozygomatic-plus-retrosigmoid approach being utilized when necessary.
Keywords
- Type
- Chapter
- Information
- Integrated Management of Complex Intracranial LesionsOpen, Endoscopic, and Keyhole Techniques, pp. 140 - 149Publisher: Cambridge University PressPrint publication year: 2021
References
Acknowledgments
The authors thank the staff of Neuroscience Publications at Barrow Neurological Institute for assistance with manuscript preparation.
Bambakidis, NC, Kakarla, UK, Kim, LJ, Nakaji, P, Porter, RW, Daspit, CP, et al. Evolution of surgical approaches in the treatment of petroclival meningiomas: a retrospective review. Neurosurgery. 2008;62(6 Suppl 3):1182–91.CrossRefGoogle ScholarPubMed
Bernardo, A, Evins, AI, Visca, A, Stieg, PE. The intracranial facial nerve as seen through different surgical windows: an extensive anatomosurgical study. Neurosurgery. 2013;72(2 Suppl Operative):ons194–207.Google Scholar
Chanda, A, Nanda, A. Partial labyrinthectomy petrous apicectomy approach to the petroclival region: an anatomic and technical study. Neurosurgery. 2002;51(1):147–59; discussion 59–60.Google Scholar
Wu, CY, Lan, Q. Quantification of the presigmoid transpetrosal keyhole approach to petroclival region. Chin Med J (Engl). 2008;121(8):740–4.Google Scholar
Cho, CW, Al-Mefty, O. Combined petrosal approach to petroclival meningiomas. Neurosurgery. 2002;51(3):708–16; discussion 16–18.CrossRefGoogle ScholarPubMed
Horgan, MA, Anderson, GJ, Kellogg, JX, Schwartz, MS, Spektor, S, McMenomey, SO, et al. Classification and quantification of the petrosal approach to the petroclival region. J Neurosurg. 2000;93(1):108–12.Google Scholar
Janjua, MB, Caruso, JP, Greenfield, JP, Souweidane, MM, Schwartz, TH. The combined transpetrosal approach: anatomic study and literature review. J Clin Neurosci. 2017;41:36–40.CrossRefGoogle ScholarPubMed
Miller, CG, van Loveren, HR, Keller, JT, Pensak, M, el-Kalliny, M, Tew, JM Jr. Transpetrosal approach: surgical anatomy and technique. Neurosurgery. 1993;33(3):461–9; discussion 9.Google Scholar
Miller, ME, Mastrodimos, B, Cueva, RA. Facial nerve function after the extended translabyrinthine approach. J Neurol Surg B Skull Base. 2015;76(1):1–6.Google Scholar
Yang, J, Zhang, F, Xu, A, Li, H, Ding, Z. Comparison of surgical exposure and maneuverability associated with microscopy and endoscopy in the retrolabyrinthine and transcrusal approaches to the retrochiasmatic region: a cadaveric study. Acta Neurochir (Wien). 2016;158(4):703–10.Google Scholar
Chang, SW, Wu, A, Gore, P, Beres, E, Porter, RW, Preul, MC, et al. Quantitative comparison of Kawase’s approach versus the retrosigmoid approach: implications for tumors involving both middle and posterior fossae. Neurosurgery. 2009;64(3 Suppl):ons44-51.Google Scholar
Mason, E, Rompaey, JV, Solares, CA, Figueroa, R, Prevedello, D. Subtemporal retrolabyrinthine (posterior petrosal) versus endoscopic endonasal approach to the petroclival region: an anatomical and computed tomography study. J Neurol Surg B Skull Base. 2016;77(3):231–7.Google Scholar
Xu, F, Karampelas, I, Megerian, CA, Selman, WR, Bambakidis, NC. Petroclival meningiomas: an update on surgical approaches, decision making, and treatment results. Neurosurg Focus. 2013;35(6):E11.Google Scholar
House, WF, Hitselberger, WE. The transcochlear approach to the skull base. Arch Otolaryngol. 1976;102(6):334–42.Google Scholar
House, WF, De la Cruz, A, Hitselberger, WE. Surgery of the skull base: transcochlear approach to the petrous apex and clivus. Otolaryngology. 1978;86(5):ORL-770–9.Google Scholar
Little, AS, Jittapiromsak, P, Crawford, NR, Deshmukh, P, Preul, MC, Spetzler, RF, et al. Quantitative analysis of exposure of staged orbitozygomatic and retrosigmoid craniotomies for lesions of the clivus with supratentorial extension. Neurosurgery. 2008;62(5 Suppl 2):ons318–23; discussion ons23–4.Google Scholar
Siwanuwatn, R, Deshmukh, P, Figueiredo, EG, Crawford, NR, Spetzler, RF, Preul, MC. Quantitative analysis of the working area and angle of attack for the retrosigmoid, combined petrosal, and transcochlear approaches to the petroclival region. J Neurosurg. 2006;104(1):137–42.Google Scholar
Lemole, GM, Jr., Henn, JS, Zabramski, JM, Spetzler, RF. Modifications to the orbitozygomatic approach. Technical note. J Neurosurg. 2003;99(5):924–30.Google Scholar
Bambakidis, NC, Kakarla, UK, Kim, LJ, Nakaji, P, Porter, RW, Daspit, CP, et al. Evolution of surgical approaches in the treatment of petroclival meningiomas: a retrospective review. Neurosurgery. 2008;62(6 Suppl 3):1182–91.CrossRefGoogle ScholarPubMed
Bernardo, A, Evins, AI, Visca, A, Stieg, PE. The intracranial facial nerve as seen through different surgical windows: an extensive anatomosurgical study. Neurosurgery. 2013;72(2 Suppl Operative):ons194–207.Google Scholar
Chanda, A, Nanda, A. Partial labyrinthectomy petrous apicectomy approach to the petroclival region: an anatomic and technical study. Neurosurgery. 2002;51(1):147–59; discussion 59–60.Google Scholar
Wu, CY, Lan, Q. Quantification of the presigmoid transpetrosal keyhole approach to petroclival region. Chin Med J (Engl). 2008;121(8):740–4.Google Scholar
Cho, CW, Al-Mefty, O. Combined petrosal approach to petroclival meningiomas. Neurosurgery. 2002;51(3):708–16; discussion 16–18.CrossRefGoogle ScholarPubMed
Horgan, MA, Anderson, GJ, Kellogg, JX, Schwartz, MS, Spektor, S, McMenomey, SO, et al. Classification and quantification of the petrosal approach to the petroclival region. J Neurosurg. 2000;93(1):108–12.Google Scholar
Janjua, MB, Caruso, JP, Greenfield, JP, Souweidane, MM, Schwartz, TH. The combined transpetrosal approach: anatomic study and literature review. J Clin Neurosci. 2017;41:36–40.CrossRefGoogle ScholarPubMed
Miller, CG, van Loveren, HR, Keller, JT, Pensak, M, el-Kalliny, M, Tew, JM Jr. Transpetrosal approach: surgical anatomy and technique. Neurosurgery. 1993;33(3):461–9; discussion 9.Google Scholar
Miller, ME, Mastrodimos, B, Cueva, RA. Facial nerve function after the extended translabyrinthine approach. J Neurol Surg B Skull Base. 2015;76(1):1–6.Google Scholar
Yang, J, Zhang, F, Xu, A, Li, H, Ding, Z. Comparison of surgical exposure and maneuverability associated with microscopy and endoscopy in the retrolabyrinthine and transcrusal approaches to the retrochiasmatic region: a cadaveric study. Acta Neurochir (Wien). 2016;158(4):703–10.Google Scholar
Chang, SW, Wu, A, Gore, P, Beres, E, Porter, RW, Preul, MC, et al. Quantitative comparison of Kawase’s approach versus the retrosigmoid approach: implications for tumors involving both middle and posterior fossae. Neurosurgery. 2009;64(3 Suppl):ons44-51.Google Scholar
Mason, E, Rompaey, JV, Solares, CA, Figueroa, R, Prevedello, D. Subtemporal retrolabyrinthine (posterior petrosal) versus endoscopic endonasal approach to the petroclival region: an anatomical and computed tomography study. J Neurol Surg B Skull Base. 2016;77(3):231–7.Google Scholar
Xu, F, Karampelas, I, Megerian, CA, Selman, WR, Bambakidis, NC. Petroclival meningiomas: an update on surgical approaches, decision making, and treatment results. Neurosurg Focus. 2013;35(6):E11.Google Scholar
House, WF, Hitselberger, WE. The transcochlear approach to the skull base. Arch Otolaryngol. 1976;102(6):334–42.Google Scholar
House, WF, De la Cruz, A, Hitselberger, WE. Surgery of the skull base: transcochlear approach to the petrous apex and clivus. Otolaryngology. 1978;86(5):ORL-770–9.Google Scholar
Little, AS, Jittapiromsak, P, Crawford, NR, Deshmukh, P, Preul, MC, Spetzler, RF, et al. Quantitative analysis of exposure of staged orbitozygomatic and retrosigmoid craniotomies for lesions of the clivus with supratentorial extension. Neurosurgery. 2008;62(5 Suppl 2):ons318–23; discussion ons23–4.Google Scholar
Siwanuwatn, R, Deshmukh, P, Figueiredo, EG, Crawford, NR, Spetzler, RF, Preul, MC. Quantitative analysis of the working area and angle of attack for the retrosigmoid, combined petrosal, and transcochlear approaches to the petroclival region. J Neurosurg. 2006;104(1):137–42.Google Scholar
Lemole, GM, Jr., Henn, JS, Zabramski, JM, Spetzler, RF. Modifications to the orbitozygomatic approach. Technical note. J Neurosurg. 2003;99(5):924–30.Google Scholar
References
Bambakidis, NC, Kakarla, UK, Kim, LJ, Nakaji, P, Porter, RW, Daspit, CP, et al. Evolution of surgical approaches in the treatment of petroclival meningiomas: a retrospective review. Neurosurgery. 2008;62(6 Suppl 3):1182–91.CrossRefGoogle ScholarPubMed
Bernardo, A, Evins, AI, Visca, A, Stieg, PE. The intracranial facial nerve as seen through different surgical windows: an extensive anatomosurgical study. Neurosurgery. 2013;72(2 Suppl Operative):ons194–207.Google Scholar
Chanda, A, Nanda, A. Partial labyrinthectomy petrous apicectomy approach to the petroclival region: an anatomic and technical study. Neurosurgery. 2002;51(1):147–59; discussion 59–60.Google Scholar
Wu, CY, Lan, Q. Quantification of the presigmoid transpetrosal keyhole approach to petroclival region. Chin Med J (Engl). 2008;121(8):740–4.Google Scholar
Cho, CW, Al-Mefty, O. Combined petrosal approach to petroclival meningiomas. Neurosurgery. 2002;51(3):708–16; discussion 16–18.CrossRefGoogle ScholarPubMed
Horgan, MA, Anderson, GJ, Kellogg, JX, Schwartz, MS, Spektor, S, McMenomey, SO, et al. Classification and quantification of the petrosal approach to the petroclival region. J Neurosurg. 2000;93(1):108–12.Google Scholar
Janjua, MB, Caruso, JP, Greenfield, JP, Souweidane, MM, Schwartz, TH. The combined transpetrosal approach: anatomic study and literature review. J Clin Neurosci. 2017;41:36–40.CrossRefGoogle ScholarPubMed
Miller, CG, van Loveren, HR, Keller, JT, Pensak, M, el-Kalliny, M, Tew, JM Jr. Transpetrosal approach: surgical anatomy and technique. Neurosurgery. 1993;33(3):461–9; discussion 9.Google Scholar
Miller, ME, Mastrodimos, B, Cueva, RA. Facial nerve function after the extended translabyrinthine approach. J Neurol Surg B Skull Base. 2015;76(1):1–6.Google Scholar
Yang, J, Zhang, F, Xu, A, Li, H, Ding, Z. Comparison of surgical exposure and maneuverability associated with microscopy and endoscopy in the retrolabyrinthine and transcrusal approaches to the retrochiasmatic region: a cadaveric study. Acta Neurochir (Wien). 2016;158(4):703–10.Google Scholar
Chang, SW, Wu, A, Gore, P, Beres, E, Porter, RW, Preul, MC, et al. Quantitative comparison of Kawase’s approach versus the retrosigmoid approach: implications for tumors involving both middle and posterior fossae. Neurosurgery. 2009;64(3 Suppl):ons44-51.Google Scholar
Mason, E, Rompaey, JV, Solares, CA, Figueroa, R, Prevedello, D. Subtemporal retrolabyrinthine (posterior petrosal) versus endoscopic endonasal approach to the petroclival region: an anatomical and computed tomography study. J Neurol Surg B Skull Base. 2016;77(3):231–7.Google Scholar
Xu, F, Karampelas, I, Megerian, CA, Selman, WR, Bambakidis, NC. Petroclival meningiomas: an update on surgical approaches, decision making, and treatment results. Neurosurg Focus. 2013;35(6):E11.Google Scholar
House, WF, Hitselberger, WE. The transcochlear approach to the skull base. Arch Otolaryngol. 1976;102(6):334–42.Google Scholar
House, WF, De la Cruz, A, Hitselberger, WE. Surgery of the skull base: transcochlear approach to the petrous apex and clivus. Otolaryngology. 1978;86(5):ORL-770–9.Google Scholar
Little, AS, Jittapiromsak, P, Crawford, NR, Deshmukh, P, Preul, MC, Spetzler, RF, et al. Quantitative analysis of exposure of staged orbitozygomatic and retrosigmoid craniotomies for lesions of the clivus with supratentorial extension. Neurosurgery. 2008;62(5 Suppl 2):ons318–23; discussion ons23–4.Google Scholar
Siwanuwatn, R, Deshmukh, P, Figueiredo, EG, Crawford, NR, Spetzler, RF, Preul, MC. Quantitative analysis of the working area and angle of attack for the retrosigmoid, combined petrosal, and transcochlear approaches to the petroclival region. J Neurosurg. 2006;104(1):137–42.Google Scholar
Lemole, GM, Jr., Henn, JS, Zabramski, JM, Spetzler, RF. Modifications to the orbitozygomatic approach. Technical note. J Neurosurg. 2003;99(5):924–30.Google Scholar