{"title":"前庭神经鞘瘤的中窝入路。","authors":"Jay A Gantz, Bruce J Gantz","doi":"10.1016/B978-0-12-824534-7.00037-8","DOIUrl":null,"url":null,"abstract":"<p><p>The middle cranial fossa (MCF) approach for vestibular schwannoma microsurgery is an important tool for the lateral skull base surgeon. In addition to providing excellent visualization of the entire internal auditory canal (IAC), it is one of the few surgical approaches (and possibly the most effective) that allows for postoperative hearing preservation. The MCF approach is the only way to directly visualize the lateral aspect of the IAC while leaving the cochlea and vestibular organs intact. Over the past 60 years, the MCF approach has been adopted in some centers and its outcomes are well documented. Here, the historical context, surgical considerations, patient factors, potential pitfalls, preoperative evaluation, surgical techniques, and outcomes of vestibular schwannoma surgery using the MCF approach are outlined.</p>","PeriodicalId":12907,"journal":{"name":"Handbook of clinical neurology","volume":"212 ","pages":"167-175"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Middle fossa approach to vestibular schwannomas.\",\"authors\":\"Jay A Gantz, Bruce J Gantz\",\"doi\":\"10.1016/B978-0-12-824534-7.00037-8\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>The middle cranial fossa (MCF) approach for vestibular schwannoma microsurgery is an important tool for the lateral skull base surgeon. In addition to providing excellent visualization of the entire internal auditory canal (IAC), it is one of the few surgical approaches (and possibly the most effective) that allows for postoperative hearing preservation. The MCF approach is the only way to directly visualize the lateral aspect of the IAC while leaving the cochlea and vestibular organs intact. Over the past 60 years, the MCF approach has been adopted in some centers and its outcomes are well documented. Here, the historical context, surgical considerations, patient factors, potential pitfalls, preoperative evaluation, surgical techniques, and outcomes of vestibular schwannoma surgery using the MCF approach are outlined.</p>\",\"PeriodicalId\":12907,\"journal\":{\"name\":\"Handbook of clinical neurology\",\"volume\":\"212 \",\"pages\":\"167-175\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Handbook of clinical neurology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1016/B978-0-12-824534-7.00037-8\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Handbook of clinical neurology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/B978-0-12-824534-7.00037-8","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
The middle cranial fossa (MCF) approach for vestibular schwannoma microsurgery is an important tool for the lateral skull base surgeon. In addition to providing excellent visualization of the entire internal auditory canal (IAC), it is one of the few surgical approaches (and possibly the most effective) that allows for postoperative hearing preservation. The MCF approach is the only way to directly visualize the lateral aspect of the IAC while leaving the cochlea and vestibular organs intact. Over the past 60 years, the MCF approach has been adopted in some centers and its outcomes are well documented. Here, the historical context, surgical considerations, patient factors, potential pitfalls, preoperative evaluation, surgical techniques, and outcomes of vestibular schwannoma surgery using the MCF approach are outlined.
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.
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