Commentary “The Middle Cranial Fossa: Morphometric Study and Surgical Considerations”

This article nicely confirms the usefulness of the E. and J. L. Garcia-Ibanez approach to the internal auditory canal from the middle fossa. The authors also demonstrate again that the anatomy of the middle fossa is extremely challenging and variable. However, the middle fossa remains a true “utility approach,” allowing access to several vital structures without compromising normal function, and it is also associated with minimal morbidity. Unfortunately, with this approach, there is no shortcut to the extensive temporal bone work required to develop the detailed knowledge of this complex anatomy necessary to achieve successful outcomes.