Translabyrinthine approach to the cerebellopontine angle.

Q2 Medicine

Handbook of clinical neurology Pub Date : 2025-01-01 DOI:10.1016/B978-0-12-824534-7.00031-7

Simon K W Lloyd, Walter Kutz

引用次数: 0

Abstract

The translabyrinthine approach is one of the most widely used approaches to assess cerebellopontine angle (CPA), particularly for the removal of vestibular schwannomas. It became popularized by William House and William Hitselberger in the 1960s. It has the advantage over other approaches of accessing the CPA at the expense of bone rather than through brain retraction and allows identification of the facial nerve both proximally and distally, thereby assisting nerve preservation during tumor removal. It also provides excellent access for the removal of the intracanalicular portion of tumors. It does, however, require removal of the vestibular apparatus and therefore sacrifices hearing. It may be used in conjunction with other surgical approaches or extended to include removal of the cochlea in order to access the extremities of the CPA or the petrous apex. Indications for the use of the approach and the surgical technique are described including tips to optimize surgical outcome. Complications that might arise following surgery are also discussed.

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经迷路入路进入桥小脑角。

经迷路入路是评估桥小脑角（CPA）最广泛使用的入路之一，尤其适用于前庭神经鞘瘤的切除。它在20世纪60年代因威廉·豪斯和威廉·希塞尔伯格而流行起来。它比其他以骨为代价而不是通过脑后缩进入CPA的方法有优势，并且可以识别近端和远端面神经，从而在肿瘤切除过程中帮助神经保存。它也为切除管内部分的肿瘤提供了良好的通道。然而，它确实需要去除前庭器官，因此牺牲了听力。它可以与其他手术入路联合使用，也可以扩展到包括切除耳蜗，以进入CPA的末端或岩尖。描述了使用该方法和手术技术的适应症，包括优化手术结果的提示。手术后可能出现的并发症也进行了讨论。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Handbook of clinical neurology Medicine-Neurology (clinical)

CiteScore

4.10

自引率

0.00%

发文量

302

期刊介绍： The Handbook of Clinical Neurology (HCN) was originally conceived and edited by Pierre Vinken and George Bruyn as a prestigious, multivolume reference work that would cover all the disorders encountered by clinicians and researchers engaged in neurology and allied fields. The first series of the Handbook (Volumes 1-44) was published between 1968 and 1982 and was followed by a second series (Volumes 45-78), guided by the same editors, which concluded in 2002. By that time, the Handbook had come to represent one of the largest scientific works ever published. In 2002, Professors Michael J. Aminoff, François Boller, and Dick F. Swaab took on the responsibility of supervising the third (current) series, the first volumes of which published in 2003. They have designed this series to encompass both clinical neurology and also the basic and clinical neurosciences that are its underpinning. Given the enormity and complexity of the accumulating literature, it is almost impossible to keep abreast of developments in the field, thus providing the raison d''être for the series. The series will thus appeal to clinicians and investigators alike, providing to each an added dimension. Now, more than 140 volumes after it began, the Handbook of Clinical Neurology series has an unparalleled reputation for providing the latest information on fundamental research on the operation of the nervous system in health and disease, comprehensive clinical information on neurological and related disorders, and up-to-date treatment protocols.