Retrolabyrinthine Surgery: A Direct Approach To The Cerebellopontine Angle

Author:

Silverstein Herbert1,Norrell Horace1

Affiliation:

1. Ear Research Foundation of Florida, Sarasota, Florida

Abstract

The direct route to the cerebellopontine (CP) angle through the ear (retrolabyrinthine approach) represents a significant advance in neuro-otologic surgery. After incising the dura between the endolymphatic sac and the lateral venous sinus, a self-retaining retractor is used to collapse the lateral sinus, which provides a wide exposure of the CP angle, with visualization of the 5th through 11th cranial nerves. The retrolabyrinthine approach is a safe and direct route to the CP angle and has advantages over the suboccipital approach. Vestibular neurectomy through the retrolabyrinthine approach is the most frequently performed procedure and has replaced middle fossa vestibular neurectomy in our practice.

Publisher

SAGE Publications

Subject

Otorhinolaryngology,Surgery

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1. Clinical correlation research of 3D reconstruction of retrolabyrinthine space based on HRCT of temporal bone;Acta Oto-Laryngologica;2023-09-22

2. Vie retrolabirintiche e retrosigmoidee;EMC - Tecniche Chirurgiche - Chirurgia ORL e Cervico-Facciale;2023-08

3. Vías retrolaberínticas y retrosigmoideas;EMC - Cirugía Otorrinolaringológica y Cervicofacial;2023-05

4. A Detailed Topographic Neurovascular Anatomy for Vestibular Neurosurgery;Gazi Medical Journal;2023-01-01

5. Menière’s Disease;Disorders of the Vestibular System;2023

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