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DOI: 10.1055/s-0031-1284396
Simple, Effective, Supine Positioning for the Retrosigmoid Approach
Publication History
Publication Date:
15 September 2011 (online)
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Abstract
Background:
The retrosigmoid approach is often used for posterior fossa pathology. Many variations of positioning exist. Here, we report a simple, safe, and quick positioning technique which maximizes patient safety, surgeon comfort, and intraoperative view.
Methods:
We reviewed the senior author’s prospective surgical database for retrosigmoid approaches to the posterior fossa and noted any complications or difficult exposures.
Results:
Over 970 retrosigmoid operations were performed over the course of 19 years. There were no positioning-related complications and no aborted surgeries due to inadequate exposure. No normal cerebellum was ever resected to increase exposure and no retractor was ever used in the posterior fossa.
Conclusions:
Supine positioning for the retrosigmoid approach is an excellent and safe positioning alternative.
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References
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