Skull Base Surgery of the Posterior Fossa
34 Alternatively, temporalis fascia may be har- vested, or a free fascial graft may be harvested from the abdominal wall or tens ...
35 for performing this surgery, we review some key techniques that can help to lower the complica- tion rates of CSF leak, posto ...
© Springer International Publishing AG 2018 37 W.T. Couldwell (ed.), Skull Base Surgery of the Posterior Fossa, https://doi.org/ ...
38 it would be a viable option for the removal of acoustic neuromas [ 2 ]. Through this approach, the entirety of the contents o ...
39 Indications for Surgery Once an acoustic neuroma has been diagnosed and the patient has elected to undergo surgical resection ...
40 We routinely use graphic diagrams of the anat- omy and provide pamphlets to our patients to take home. Patients who are candi ...
41 with an Adson Cerebellar Retractor to expose the calvarium. The craniotomy opening is made in the squamous portion of the tem ...
42 labyrinthine portion of the facial nerve lying immediately posterior to the basal turn of the cochlea. The dissection must co ...
43 attempt to preserve the labyrinthine artery; however partial vestibulopathy from a retained inferior vestibular nerve can res ...
44 sulcus. The surgical site is prepped and draped in similar manner as the middle fossa approach. A hockey stick-shaped retroau ...
45 intersection with the superior canal (crus com- mons) superiorly and its ampullated end anterior- inferiorly, which marks the ...
46 The facial nerve is again identified using stimulation and followed using a sharp right- angle hook, and Bill’s bar is palpat ...
47 POD #1. If stable, the patient is transferred to the surgical floor on POD #1. Early ambulation is encouraged at this point t ...
48 The increased rate of hearing preservation over time is likely due to a combination of technical improvements as well as incr ...
49 Complications Complications are relatively rare for any approach, however the rate increases with tumor size, as one would ex ...
50 who underwent suboccipital or translabyrinthine resection of a CPA tumor, 5 (4.6%) developed transverse sinus thrombosis and ...
51 venous infarcts, seizures, or persistent cerebellar dysfunction. When grouped together, they found these occurred at a rate o ...
52 Shelton C, Arriaga MA, editors. Otologic surgery. 3rd ed. Philadelphia: Elsevier; 2010. p. 603–20. Ansari SF, Terry C, Cohen ...
53 ment of vestibular schwannoma. Neurosurgery. 2012;70(2):334–40. discussion 40–1 Slattery WH 3rd, Brackmann DE, Hitselberger ...
© Springer International Publishing AG 2018 55 W.T. Couldwell (ed.), Skull Base Surgery of the Posterior Fossa, https://doi.org/ ...
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