Commentary “Transmastoid Partial Labyrinthectomy for Brainstem Vascular Lesions: Clinical Outcomes and Assessment of Postoperative Cochleovestibular Function”

Dr. Taplin and his associates present a very nice review of a series of patients who underwent a partial labyrinthectomy to obtain access to vascular lesions of the brainstem. Their work demonstrates that careful attention to details can decrease the morbidity associated with obtaining exposure for removal of these lesions. It is encouraging that they were able to maintain serviceable hearing in seven of nine patients. Preservation of vestibular function is an interesting aspect of this study. It is hoped that preservation of vestibular function will improve overall function of clinical balance. The addition of this approach to the neurotologic armamentarium is important. Continued review of this technique and its outcomes will help elucidate the role of this modified approach for the removal of various skull base lesions.