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VOLUME 3 , ISSUE 1 ( January-April, 2011 ) > List of Articles

REVIEW ARTICLE

Decision Making in Lateral Skull Base Surgery

Suresh Sankhla, KP Morwani, Rahul Agrawal, Narayan Jayashankar

Keywords : Facial nerve,Glomus tumors,Petroclival,Vestibular schwannoma

Citation Information : Sankhla S, Morwani K, Agrawal R, Jayashankar N. Decision Making in Lateral Skull Base Surgery. Int J Otorhinolaryngol Clin 2011; 3 (1):1-6.

DOI: 10.5005/jp-journals-10003-1048

Published Online: 00-04-2011

Copyright Statement:  Copyright © 2011; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Lateral skull base surgery encompasses a number of lesions and also a variety of approaches to deal with them. Correct understanding of the nature of the lesion as also various patient factors are used to decide on surgical option wherever indicated. The extent of the lesion and also the involvement of structures adjacent to the lesion is discussed with the neuroradiology team, and is very important in deciding the most favorable surgical approach. The subject is explained preoperatively about staging of the procedure, if needed. The principle is to gain maximal exposure of the lesion with good control of the neurovascular structures along the surgical route, so as to minimize morbidity. Correct decision making and good skill help in achieving the best possible results.


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  1. Long-term hearing preservation in vestibular schwannoma. Otol Neurotol Feb 2010;31:271–75.
  2. Conservative management versus surgery for small vestibular schwannomas. Acta Otolaryngol Oct 2005;125(10):1063–68.
  3. Trends in the management of vestibular schwannomas at Johns Hopkins 1997-2007. Laryngoscope Jan 2010; 120(1):144–49.
  4. Intracanalicular vestibular schwannoma-therapeutic options. Acta Otolaryngol Suppl 2000;543:38–40.
  5. Hearing preservation in acoustic neuroma surgery: Middle fossa versus retrosigmoid approach. Am J Otol May 2000;21(3): 399–404.
  6. Long-term hearing preservation after middle fossa removal of vestibular schwannoma. Otolaryngol Head Neck Surg Dec 2003;129(6):660–65.
  7. Hearing preservation in patients undergoing vestibular schwannoma surgery: Comparison of middle fossa and retrosigmoid approaches. J Neurosurg May 1998;88(5):840–45.
  8. Preoperative predictive factors for hearing preservation in vestibular schwannoma surgery. Ann Otol Rhinol Laryngol Jan 2006;115(1):41–46.
  9. Hearing preservation surgery in vestibular schwannoma: The hidden truth. Ann Otol Rhinol Laryngol Feb 2004;113(2):156–63.
  10. Standardized format for depicting hearing preservation results in the management of acoustic neuroma. Otolaryngol Head Neck Surg Sep 1999;121(3): 176–79.
  11. Infratemporal fossa approach for glomus tumors of the temporal bone. Ann Otol Rhinol Laryngol Sep-Oct 1982; 91(5 Pt 1):474–79.
  12. Management of jugular paragangliomas: The Gruppo Otologico experience. Otol Neurotol Sep 2004;25(5):797–804.
  13. Glomus jugulare tumors with intracranial extension. Neurosurg Focus Aug 15, 2004;17(2):E7.
  14. Radiosurgery for glomus jugulare: History and recent progress. Neurosurg Focus Dec 2009;27(6):E5.
  15. Revision glomus tumor surgery. Otolaryngol Clin North Am Aug 2006;39(4): 763–82.
  16. Transcanal infracochlear approach to the petrous apex. Otolaryngol Head Neck Surg Jan 1991;104(1):29–36.
  17. Anterior and posterior facial nerve rerouting: A comparative study. Skull Base Aug2003;13(3):123–30.
  18. Radiographic differential diagnosis of petrous apex lesions. Am J Otol Nov 1992;13(6):561–74.
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