Document Detail


Transcrusal approach to the petroclival region with hearing preservation. Technical note and illustrative cases.
MedLine Citation:
PMID:  11302672     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
As a term, the "petrosal approach" to the petroclival region has a variety of meanings. The authors define a common nomenclature based on historical contributions and add new terminology to describe a technique of hearing preservation that allows for greater exposure of the petroclival region. The degree of temporal bone dissection defines five stages of operation. The authors used the second or "transcrusal" stage, in which the posterior and superior semicircular canals are sacrificed while preserving hearing, in six consecutive cases. Use of a common terminology ensures better understanding among surgeons. In the authors' hands, hearing has been successfully preserved in six patients after partial labyrinthectomy.
Authors:
M A Horgan; J B Delashaw; M S Schwartz; J X Kellogg; S Spektor; S O McMenomey
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  94     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2001 Apr 
Date Detail:
Created Date:  2001-04-13     Completed Date:  2001-05-03     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  660-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Neurosurgery, Oregon Health Sciences University, Portland, USA. Michael.Horgan@vtmednet.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cranial Fossa, Posterior
Cranial Sinuses / surgery*
Craniotomy
Ear, Inner / surgery
Female
Hearing*
Humans
Magnetic Resonance Imaging
Meningeal Neoplasms / diagnosis,  surgery*
Meningioma / diagnosis,  surgery*
Middle Aged
Neurosurgical Procedures*
Petrous Bone
Semicircular Canals / surgery
Temporal Bone / surgery
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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