Table 1.
Classification | Abbreviation | Cochlea | Vestibule ± SCC | IAC | Middle ear | CPA |
---|---|---|---|---|---|---|
Transmodiolara | TMOD | X | (X) | X | – | – |
Transmacularb | TMAC | – | X | X | – | – |
Translabyrinthinec | TLab | X | X | X | – | – |
Transotic | TO | X | X | X | X | – |
Involvement of the CPA | + CPA | ± | ± | X | ± | X |
aExtension through the modiolus into the internal auditory canal
bExtension through the macula cribrosa into the internal auditory canal
cExtension through the modiolus and the macula cribrosa into the internal auditory canal. For intravestibulocochlear tumors and location in the fundus of the IAC, the differentiation to transmacular and transmodiolar extension might be difficult. In our case series no tumor with certain transmodiolar and transmacular (i.e., translabyrinthine) extension was present. Also, this type of tumor extension is not part of the Kennedy et al. classification [21]
IAC internal auditory canal, CPA cerebellopontine angle, SSC semicircular canals