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CC BY-NC-ND 4.0 · J Neurol Surg B Skull Base 2019; 80(S 03): S274-S275
DOI: 10.1055/s-0038-1675148
Skull Base: Operative Videos
Georg Thieme Verlag KG Stuttgart · New York

Retrosigmoid Craniectomy for Vestibular Schwannoma with Hearing Preservation

Anthony M. Tolisano
1   Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, United States
,
Ankur R. Patel
2   Department of Neurological Surgery, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas, United States
,
Samuel L. Barnett
2   Department of Neurological Surgery, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas, United States
,
Brandon Isaacson
1   Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, United States
› Author Affiliations
Further Information

Address for correspondence

Anthony M. Tolisano, MD
Department of Otolaryngology-Head and Neck Surgery
University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390
United States   

Publication History

30 May 2018

19 August 2018

Publication Date:
15 October 2018 (online)

Also available at
 
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    Abstract

    Objectives To describe a retrosigmoid craniectomy, hearing-preservation approach for resection of vestibular schwannoma.

    Design/Setting/Participants A video of a single patient undergoing the above approach at a tertiary care skull base surgery program.

    Results This video demonstrates a retrosigmoid craniectomy approach for resection of an enlarging intracanalicular vestibular schwannoma in a patient with normal hearing. The video highlights the pertinent surgical anatomy and outlines in a step-by-step fashion the surgical steps. The patient obtained a gross total resection with preservation of hearing.

    Conclusion A retrosigmoid craniectomy approach for vestibular schwannoma offers a potentially hearing preservation approach for selected tumors.

    The link to the video can be found at: https://youtu.be/VM663XztRZw.


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    Keywords

    retrosigmoid craniectomy - vestibular schwannoma - hearing preservation - skull base surgery
    Zoom Image
    Fig. 1 T1-weighted magnetic resonance images with gadolinium demonstrating (A) preoperative axial, (B) preoperative coronal, (C) postoperative axial, and (D) postoperative coronal images of a left intracanalicular vestibular schwannoma.

    www.thieme.com/skullbasevideos

    www.thieme.com/jnlsbvideos


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    Conflict of Interest

    None.

    Address for correspondence

    Anthony M. Tolisano, MD
    Department of Otolaryngology-Head and Neck Surgery
    University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390
    United States   

       Permissions and Reprints
    Zoom Image
    Fig. 1 T1-weighted magnetic resonance images with gadolinium demonstrating (A) preoperative axial, (B) preoperative coronal, (C) postoperative axial, and (D) postoperative coronal images of a left intracanalicular vestibular schwannoma.