Postcraniectomy pain: Comparison between 2 incisions for the retrosigmoid approach. Prospective randomized study

Lorefice, Emiliano; Pont, Francisco Marcó del; Giovannini, Sebastían; Cavanagh, Sol; Goicochea, María Teresa; Cervio, Andrés

doi:10.1016/j.neucie.2020.04.002

Cited by 1 publication

(2 citation statements)

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“…We hypothesized that POH occurs more frequently in patients treated with the RS approach than in those treated with the TL approach. One reason is that drilling into the IAC during RS tumor resection increases the risk of bone dust entering the posterior fossa causing tissue reactions and, possibly, irritative arachnoiditis [ 2 , 4 , 30 – 34 ]. Additionally, surgical incisions to the suboccipital musculature (i.e.…”

Section: Discussionmentioning

confidence: 99%

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Postoperative headache after surgical treatment of cerebellopontine angle tumors: a systematic review

Pogoda

Smeeing

Voormolen

et al. 2021

Eur Arch Otorhinolaryngol

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Purpose Postoperative headache (POH) is a complication that occurs after surgical resection of cerebellopontine angle (CPA) tumors. The two most common surgical approaches are the translabyrinthine (TL), and retrosigmoid (RS) approach. The objective of this systematic review was to investigate whether POH occurs more frequently after RS compared to TL approaches. Methods A systematic search was conducted in Cochrane, Pubmed and Embase. Studies were included if POH after CPA tumor removal was reported and both surgical approaches were compared. The methodological quality of the studies was assessed using the Risk Of Bias In Non-randomized Studies of Interventions (ROBINS-I) tool. Results In total, 3,942 unique articles were screened by title and abstract. After the initial screening process 63 articles were screened for relevance to the inquiry, of which seven studies were included. Three studies found no significant difference between both surgical approaches (p = 0.871, p = 0.120, p = 0.592). Three other studies found a lower rate of POH in the TL group compared to the RS group (p = 0.019, p < 0.001, p < 0.001). Another study showed a significantly lower POH rate in the TL group after one and six months (p = 0.006), but not after 1 year (p = 0.6). Conclusion The results of this systematic review show some evidence of a lower rate of POH in favor of the TL approach versus the RS approach for CPA tumor resection. Prospective research studies are needed to further investigate this finding.

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Section: Discussionmentioning

confidence: 99%

“…Additionally, surgical incisions to the suboccipital musculature (i.e. m. occipitalis and m. trapezius) might consequently lead to ingrowth of these anatomical structures into the exposed dura in the postoperative course [ 2 , 4 , 30 – 34 ]. This healing process can result in postoperative adherences, leading to POH as well.…”

Section: Discussionmentioning

confidence: 99%