{"title":"迷路后入路。","authors":"Per Cayé-Thomasen","doi":"10.1016/B978-0-12-824534-7.00020-2","DOIUrl":null,"url":null,"abstract":"<p><p>The development, technique, results, and complications of the retrolabyrinthine/presigmoid approach to the cerebellopontine angle are described. This somewhat overlooked approach allows for potential preservation of hearing and vestibular function and can be applied to the removal of a variety of pathologies in the cerebellopontine angle, including meningiomas, vestibular schwannomas, arachnoid cysts, epidermoid cysts, and other rarer tumors, but is also an option for procedures such as vestibular neurectomy, trigeminal nerve decompression, and auditory brainstem implantation. The addition of contemporary neuromonitoring technology to the approach provides the option for near-real-time monitoring of hearing and facial nerve function during surgery, for overall outcome improvement. The addition of endoscopes to the minimally invasive procedure aids to the surgical field overview, to complete removal of pathology and to preservation of crucial anatomic structures.</p>","PeriodicalId":12907,"journal":{"name":"Handbook of clinical neurology","volume":"212 ","pages":"177-183"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The retrolabyrinthine approach.\",\"authors\":\"Per Cayé-Thomasen\",\"doi\":\"10.1016/B978-0-12-824534-7.00020-2\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>The development, technique, results, and complications of the retrolabyrinthine/presigmoid approach to the cerebellopontine angle are described. This somewhat overlooked approach allows for potential preservation of hearing and vestibular function and can be applied to the removal of a variety of pathologies in the cerebellopontine angle, including meningiomas, vestibular schwannomas, arachnoid cysts, epidermoid cysts, and other rarer tumors, but is also an option for procedures such as vestibular neurectomy, trigeminal nerve decompression, and auditory brainstem implantation. The addition of contemporary neuromonitoring technology to the approach provides the option for near-real-time monitoring of hearing and facial nerve function during surgery, for overall outcome improvement. The addition of endoscopes to the minimally invasive procedure aids to the surgical field overview, to complete removal of pathology and to preservation of crucial anatomic structures.</p>\",\"PeriodicalId\":12907,\"journal\":{\"name\":\"Handbook of clinical neurology\",\"volume\":\"212 \",\"pages\":\"177-183\"},\"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/B978-0-12-824534-7.00020-2\",\"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/B978-0-12-824534-7.00020-2","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
The development, technique, results, and complications of the retrolabyrinthine/presigmoid approach to the cerebellopontine angle are described. This somewhat overlooked approach allows for potential preservation of hearing and vestibular function and can be applied to the removal of a variety of pathologies in the cerebellopontine angle, including meningiomas, vestibular schwannomas, arachnoid cysts, epidermoid cysts, and other rarer tumors, but is also an option for procedures such as vestibular neurectomy, trigeminal nerve decompression, and auditory brainstem implantation. The addition of contemporary neuromonitoring technology to the approach provides the option for near-real-time monitoring of hearing and facial nerve function during surgery, for overall outcome improvement. The addition of endoscopes to the minimally invasive procedure aids to the surgical field overview, to complete removal of pathology and to preservation of crucial anatomic structures.
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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