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The enlarged translabyrinthine approach for removal of large vestibular schwannomas

Published online by Cambridge University Press:  29 June 2007

Maged B. Naguib
Affiliation:
Bergamo, Italy.
Essam Saleh
Affiliation:
Bergamo, Italy.
Yasar Cokkeser
Affiliation:
Bergamo, Italy.
Miguel Aristegui
Affiliation:
Bergamo, Italy.
Mauro Landolfi
Affiliation:
Bergamo, Italy.
Abdel Kader Taibah
Affiliation:
Bergamo, Italy.
Antonio Mazzoni
Affiliation:
Ospedale Riuniti, Bergamo, Italy.
Mario Sanna*
Affiliation:
Gruppo Otologico Bergamo, Piacenza, Italy.
*
Mario Sanna, M.D.,Gruppo Otologico, Casa di Cura-Piacenza, Via Emmanueli, 42, 29100 Piacenza, Italy. Fax: (0523) 453708

Abstract

This 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.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1994

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References

Bryce, G. E., Nedzelski, J. M., Rowed, D. W., Rappaport, J. M. (1991) Cerebrospinal fluid leaks and meningitis in acoustic neuroma surgery. Otolaryngology-Head and Neck Surgery 104: 8187.CrossRefGoogle ScholarPubMed
Cohen, N. L., Lewis, W. S., Ransohoff, J. (1993) Hearing preservation in cerebellopontine angle tumour surgery: the NYU experience 1974–1991. American Journal of Otology 14: 423433.Google ScholarPubMed
Dutton, J. E. M., Ramsden, R. T., Lye, R. H., Morris, K., Keith, A. O., Page, R., Vafadis, J. (1991) Acoustic neuroma (schwannoma) surgery 1978–1990. Journal of Laryngology and Otology 105: 165173.CrossRefGoogle ScholarPubMed
Gantz, B. J., Fisch, U. (1983) Modified transotic approach to the cerebellopontine angle. Archives of Otolaryngology 109: 252256.CrossRefGoogle Scholar
Glasscock, M. E., Kveton, J. E., Jackson, C. G., Levine, S. C., McKenna, K. X. (1986) A systematic approach to the surgical management of acoustic neuroma. Laryngoscope 96: 10881094.CrossRefGoogle Scholar
Hardy, D. G., Macfarlane, R., Baguley, D., Moffat, D. (1989) Surgery of acoustic neuroma. An analysis of 100 translabyrinthine operations. Journal of Neurosurgery 71: 799804.CrossRefGoogle ScholarPubMed
House, J. W., Brackmann, D. E. (1985) Facial nerve grading system. Otolaryngology-Head and Neck Surgery 93: 146147.CrossRefGoogle ScholarPubMed
House, W. F. (1964) Transtemporal bone microsurgical removal of acoustic neuromas. Archives of Otolaryngology 80: 599756.Google ScholarPubMed
House, W. F. (1968) Acoustic neuroma. Archives of Otolaryngology 88: 586591.CrossRefGoogle ScholarPubMed
Jenkins, H. A., Fisch, U. (1980) The transotic approach to resection of difficult acoustic tumours of the cerebellopontine angle. American Journal of Otology 2: 7076.Google ScholarPubMed
King, T. T., Morrison, A. W. (1980) Translabyrinthine and transtentorial removal of acoustic tumours. Results of 150 cases. Journal of Neurosurgery 52: 210216.CrossRefGoogle Scholar
Leonetti, J. P., Reichman, O. H., Smith, P. G. (1992) Additional exposure during translabyrinthine surgery. Laryngoscope 102: 213216.CrossRefGoogle ScholarPubMed
Moffat, D. A., Hardy, D. G. (1991) Near-total, subtotal or partial removal of acoustic neuromas. In Acoustic Neuroma, (Tos, M., Thomsen, J., eds.), Kugler Publications, Amsterdam/New York, pp 691696.Google Scholar
Naguib, M., Sanna, M. (1994) Hearing and acoustic schwannomas. Journal of Neurosurgery 80: (in press).Google ScholarPubMed
Naguib, M., Saleh, E., Aristegui, M., Mazzoni, A., Sanna, M. (1994) Decision making in acoustic neuroma management: the only hearing ear. Skull Base Surgery 4: 4346.CrossRefGoogle ScholarPubMed
Pellet, W., Cannoni, M., Pech, A. (1990) Otoneurosurgery, Springer-Verlag, Berlin/Heidelberg, p 95.CrossRefGoogle Scholar
Rodgers, G. K., Luxford, W. M. (1993) Factors affecting the development of a cerebrospinal fluid leak and meningitis after translabyrinthine acoustic tumour surgery. Laryngoscope 103: 959962.CrossRefGoogle Scholar
Russo, A., Taibah, A., Landolfi, M., Vassali, L., Pasanisi, E., Chelmis, G., Sanna, M. (1991a) Translabyrinthine removal of an acoustic neuroma in a contracted mastoid. In Acoustic Neuroma, (Tos, M., Thomsen, J., eds.), Kugler Publications, Amsterdam/New York, pp 391392.Google Scholar
Russo, A., Taibah, A., Landolfi, M., Vassali, L., Pasanisi, E., Chelmis, G., Sanna, M. (1991b) Translabyrinthine removal of a very large acoustic neuroma. In Acoustic Neuroma, (Tos, M., Thomsen, J., eds.), Kugler Publications, Amsterdam/New York, pp 393395.Google Scholar
Saleh, E., Aristegui, M., Taibah, A., Mazzoni, A., Sanna, M. (1994) Management of the high jugular bulb in the translabyrinthine approach. Otolaryngology-Head and Neck Surgery (in press).CrossRefGoogle Scholar
Sanna, M., Zini, C., Mazzoni, A., Gandolfi, A., Pareschi, R., Pasanisi, E., Gamoletti, R. (1987) Hearing preservation in acoustic neuroma surgery. Middle fossa versus suboccipital approach. American Journal of Otology 8: 500506.Google ScholarPubMed
Sanna, M., Zini, C, Gamoletti, R., Landolfi, M., Shann, M., Piazza, F. (1991) Hearing preservation: a critical review of the literature. In Acoustic Neuroma, (Tos, M., Thomsen, J., eds.), Kugler Publications, Amsterdam/New York, pp 631638.Google Scholar
Sterkers, J. M. (1993) Acoustic neurilemmoma: otologic approaches. In Surgery of Cranial Base Tumours, (Sekhar, L. N., Janecka, I. P., eds.), Raven Press, New York, pp 715725.Google Scholar
Tos, M., Thomsen, J. (1982) The price of preservation of hearing in acoustic neuroma surgery. Annals of Otology, Rhinology and Laryngology 91: 240245.CrossRefGoogle Scholar
Tos, M., Thomsen, J. (1991). Translabyrinthine Acoustic Neuroma Surgery. A Surgical Manual, (Tos, M., Thomsen, J., eds.), Georg Thieme, Stuttgart, p 11.Google Scholar
Tos, M., Thomsen, J., Borgesen, S. E., Moller, H. (1991) Management of giant acoustic neuroma. In Acoustic Neuroma, (Tos, M., Thomsen, J., eds.), Kugler Publications, Amsterdam/New York, pp 365368.Google Scholar
Whittaker, C. K., Luetje, C. M. (1985) Translabyrinthine removal of large acoustic tumours. American Journal of Otology (Suppl.): 155160.Google Scholar