Preservation of Function in Vestibular Schwannoma Surgery

Author:

Gharabaghi Alireza1,Samii Amir2,Koerbel Andrei1,Rosahl Steffen K.3,Tatagiba Marcos4,Samii Madjid2

Affiliation:

1. Department of Neurosurgery, International Neuroscience Institute, Hannover, Germany

2. Department of Neurosurgery, International Neuroscience Institute, Hannover, Germany, and Department of Neurosurgery, University Hospital, Tübingen, Germany

3. Department of Neurosurgery, University Hospital, Freiburg, Germany

4. Department of Neurosurgery, University Hospital, Tübingen, Germany

Abstract

Abstract THE MANAGEMENT AND surgical technique for microsurgical tumor removal of vestibular schwannomas (acoustic neuroma) with the suboccipital retrosigmoid approach and semi-sitting patient positioning is described. An emphasis is placed on the preservation of auditory and facial nerve function with a stepwise description of the technical and operative nuances, including presurgical evaluation, positioning, anesthesiological and neurophysiological aspects, approach, microsurgical techniques, and postsurgical care.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Clinical Neurology,Surgery

Reference18 articles.

1. The impact of hypotension due to the trigeminocardiac reflex on auditory function in vestibular schwannoma surgery;Gharabaghi,2006

2. Image-guided lateral suboccipital approach. Part 2: The impact on complication rate and operation time;Gharabaghi

3. Functional regeneration of the axotomized auditory nerve with combined neurotrophic and anti-inhibitory strategies;Gharabaghi;Acta Neurochir Suppl,2005

4. Direct brainstem recording of auditory evoked potentials during vestibular schwannoma resection: Nuclear BAEP recording;Matthies;Technical note and preliminary results. J Neurosurg,1997

5. Management of vestibular schwannomas (acoustic neuromas): The value of neurophysiology for evaluation and prediction of auditory function in 420 cases;Matthies;Neurosurgery,1997

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