Skip to main content
PMC home page
Skull Base Surgery logoLink to Skull Base Surgery
. 1991 Oct;1(4):226–234. doi: 10.1055/s-2008-1057102

Combined Approach for Lesions Involving the Cerebellopontine Angle and Skull Base

Experience with 30 Cases

Robert F Spetzler, C Phillip Daspit, Conrad T E Pappas
PMCID: PMC1656336  PMID: 17170840

Abstract

This article presents a series of 30 patients who underwent a combination of the subtemporal and posterior fossa approaches for exposure of lesions in the clivus or medial petrous region. This combined supra- and infratentorial approach is divided into three variations with progressively greater petrous bone resection to increase exposure of the clivus and medial petrous region. The approach has been divided into petrous bone resection with preservation of hearing (retrolabyrinthine), greater petrous bone resection with sacrifice of hearing (translabyrinthine), and finally maximum petrous drilling with sacrifice of hearing along with transposition of the facial nerve (transcochlear). Ninety-three percent of the cases returned to their premorbid occupations.

Full text

PDF
234

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Al-Mefty O., Fox J. L., Smith R. R. Petrosal approach for petroclival meningiomas. Neurosurgery. 1988 Mar;22(3):510–517. doi: 10.1227/00006123-198803000-00010. [DOI] [PubMed] [Google Scholar]
  2. Bochenek Z., Kukwa A. An extended approach through the middle cranial fossa to the internal auditory meatus and the cerebello-pontine angle. Acta Otolaryngol. 1975 Nov-Dec;80(5-6):410–414. doi: 10.3109/00016487509121344. [DOI] [PubMed] [Google Scholar]
  3. Brackmann D. E. The facial nerve in the infratemporal approach. Otolaryngol Head Neck Surg. 1987 Jul;97(1):15–17. doi: 10.1177/019459988709700103. [DOI] [PubMed] [Google Scholar]
  4. House W. F., Hitselberger W. E. The transcochlear approach to the skull base. Arch Otolaryngol. 1976 Jun;102(6):334–342. doi: 10.1001/archotol.1976.00780110046004. [DOI] [PubMed] [Google Scholar]
  5. Mayberg M. R., Symon L. Meningiomas of the clivus and apical petrous bone. Report of 35 cases. J Neurosurg. 1986 Aug;65(2):160–167. doi: 10.3171/jns.1986.65.2.0160. [DOI] [PubMed] [Google Scholar]
  6. Morrison A. W., King T. T. Experiences with a translabyrinthine-transtentorial approach to the cerebellopontine angle. Technical note. J Neurosurg. 1973 Mar;38(3):382–390. doi: 10.3171/jns.1973.38.3.0382. [DOI] [PubMed] [Google Scholar]
  7. Pellet W., Cannoni M., Pech A. The widened transcochlear approach to jugular foramen tumors. J Neurosurg. 1988 Dec;69(6):887–894. doi: 10.3171/jns.1988.69.6.0887. [DOI] [PubMed] [Google Scholar]
  8. Samii M., Ammirati M., Mahran A., Bini W., Sepehrnia A. Surgery of petroclival meningiomas: report of 24 cases. Neurosurgery. 1989 Jan;24(1):12–17. doi: 10.1227/00006123-198901000-00003. [DOI] [PubMed] [Google Scholar]

Articles from Skull base surgery are provided here courtesy of Thieme Medical Publishers

RESOURCES