Translabyrinthine Approach for Resection of Large Cystic Acoustic Neuroma: Operative Video and Technical Nuances of Subperineural Dissection for Facial Nerve Preservation

James K. Liu; Vincent N. Dodson; Robert W. Jyung

doi:10.1055/s-0039-1685534

Journal of Neurological Surgery Part B: Skull Base, Table of Contents

CC BY-NC-ND 4.0 · J Neurol Surg B Skull Base 2019; 80(S 03): S267-S268
DOI: 10.1055/s-0039-1685534

Skull Base: Operative Videos

Georg Thieme Verlag KG Stuttgart · New York

Translabyrinthine Approach for Resection of Large Cystic Acoustic Neuroma: Operative Video and Technical Nuances of Subperineural Dissection for Facial Nerve Preservation

James K. Liu

¹Department of Neurological Surgery, Center for Cerebrovascular and Skull Base Surgery, Rutgers University, New Jersey Medical School, Neurological Institute of New Jersey, RWJ Barnabas Health, Livingston and Newark, New Jersey, United States

²Otolaryngology/Head-and-Neck Surgery, Center for Cerebrovascular and Skull Base Surgery, Rutgers University, New Jersey Medical School, Neurological Institute of New Jersey, RWJ Barnabas Health, Livingston and Newark, New Jersey, United States

,

Vincent N. Dodson

¹Department of Neurological Surgery, Center for Cerebrovascular and Skull Base Surgery, Rutgers University, New Jersey Medical School, Neurological Institute of New Jersey, RWJ Barnabas Health, Livingston and Newark, New Jersey, United States

,

Robert W. Jyung

²Otolaryngology/Head-and-Neck Surgery, Center for Cerebrovascular and Skull Base Surgery, Rutgers University, New Jersey Medical School, Neurological Institute of New Jersey, RWJ Barnabas Health, Livingston and Newark, New Jersey, United States

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Abstract

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Keywords

translabyrinthine - acoustic neuroma - subperineural - cerebellopontine angle - presigmoid - microsurgery

Fig. 1 Post-gadolinium T1-weighted axial MRI (a, preoperative; b, postoperative) showing successful decompression of the brainstem.

Fig. 2 (a) Intraoperative photograph showing subperineural dissection technique to separate the tumor capsule from the perineurium. (b) Cadaveric dissection showing exposure of the cerebellopontine angle via the translabyrinthine approach. (Courtesy of The Rhoton Collection).

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Figures

Fig. 1 Post-gadolinium T1-weighted axial MRI (a, preoperative; b, postoperative) showing successful decompression of the brainstem.

Fig. 2 (a) Intraoperative photograph showing subperineural dissection technique to separate the tumor capsule from the perineurium. (b) Cadaveric dissection showing exposure of the cerebellopontine angle via the translabyrinthine approach. (Courtesy of The Rhoton Collection).