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Skull Base 1997; 7(1): 5-14
DOI: 10.1055/s-2008-1058618
DOI: 10.1055/s-2008-1058618
Original Articles
© Thieme Medical Publishers, Inc., 381 Park Avenue South, New York, NY 10016
The Middle Fossa Transpetrous Approach: Experience With 13 Cases
Further Information
Publication History
Publication Date:
03 March 2008 (online)
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Abstract
Surgical access to lesions of the temporal bone anterior to the internal auditory canal and medial to the petrous carotid artery has concerned surgeons for nearly a century. A variety of approaches have been developed to gain access to this region. We report our experience with the middle fossa transpetrous approach for the treatment of a variety of petroclival and/or prepontine lesions. Tentorial transection and the retrolabyrinthine approach to extend this technique is also discussed. In properly selected cases, the middle fossa transpetrous approach is successful in maintaining hearing, labyrinthine and facial function without compromising surgical exposure.