Middle Cranial Fossa Approach for Sporadic Vestibular Schwannoma: Patient Selection, Technical Pearls, and Hearing Results

Rustin G Kashani; Armine Kocharyan; Alexander D Claussen; Bruce J Gantz; Marlan R Hansen

doi:10.1016/j.otc.2023.02.009

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Middle Cranial Fossa Approach for Sporadic Vestibular Schwannoma: Patient Selection, Technical Pearls, and Hearing Results

Journal article

Peer reviewed

Middle Cranial Fossa Approach for Sporadic Vestibular Schwannoma: Patient Selection, Technical Pearls, and Hearing Results

Rustin G Kashani, Armine Kocharyan, Alexander D Claussen, Bruce J Gantz and Marlan R Hansen

Otolaryngologic clinics of North America, Vol.56(3), pp.495-507

05/31/2023

DOI: 10.1016/j.otc.2023.02.009

PMID: 37019769

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Abstract

The middle fossa approach is an excellent technique for removing appropriate vestibular schwannomas in patients with serviceable hearing. Knowledge of the intricate middle fossa anatomy is essential for optimal outcomes. Gross total removal can be achieved with preservation of hearing and facial nerve function, both in the immediate and long-term periods. This article provides an overview of the background and indications for the procedure, a description of the operative protocol, and a summary of the literature on postoperative hearing outcomes.

Surgical outcomes

Resection

Middle fossa approach

Hearing preservation

Vestibular schwannoma

Details

Title: Subtitle: Middle Cranial Fossa Approach for Sporadic Vestibular Schwannoma: Patient Selection, Technical Pearls, and Hearing Results
Creators: Rustin G Kashani - Department of Otolaryngology-Head and Neck Surgery, University of Iowa Hospitals and Clinics, University of Iowa, Iowa City, IA 52242, USA
Armine Kocharyan - Department of Otolaryngology-Head and Neck Surgery, University of Iowa Hospitals and Clinics, University of Iowa, Iowa City, IA 52242, USA
Alexander D Claussen - University of Iowa
Bruce J Gantz - University of Iowa
Marlan R Hansen - Department of Otolaryngology-Head and Neck Surgery, University of Iowa Hospitals and Clinics, University of Iowa, Iowa City, IA 52242, USA. Electronic address: marlan-hansen@uiowa.edu
Resource Type: Journal article
Publication Details: Otolaryngologic clinics of North America, Vol.56(3), pp.495-507
DOI: 10.1016/j.otc.2023.02.009
PMID: 37019769
NLM abbreviation: Otolaryngol Clin North Am
ISSN: 0030-6665
eISSN: 1557-8259
Grant note: DOI: 10.13039/100000002, name: NIH
Language: English
Electronic publication date: 04/03/2023
Date published: 05/31/2023
Academic Unit: Molecular Physiology and Biophysics; Neurosurgery; Otolaryngology
Record Identifier: 9984385051502771

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