Removal of Selected Infralabyrinthine Lesions Without Facial Nerve Mobilization

Martin, C. J.; Prades, Jm

doi:10.1055/s-2008-1057139

Cited by 22 publications

(14 citation statements)

References 7 publications

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“…The TM-IL approach, as performed in our hands, is a compilation of different surgical steps developed by our own experience together with the experience of others. [4][5][6][7][8][9][10][11] Complete tumor removal was achieved in 84% of patients after TM-IL and in 73% after IFT-A. This can be explained by the fact that the IFT-A approach was applied to patients with more extensive disease-C3 tumors with significant carotid artery involvement (45% compared with 32% in TM-IL) and intradural tumor spread (18% compared with 8% in TM-IL).…”

Section: Discussionmentioning

confidence: 99%

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Transmastoid-Infralabyrinthine Tailored Surgery of Jugular Paragangliomas

Gjuric

Bilić²

2009

Skull Base

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This article presents our experience with the management and outcomes of patients with sporadic glomus jugular tumors using a tailored surgical approach. We conducted a retrospective study of 49 patients with sporadic jugular paragangliomas. Thirty-eight patients (78%) were treated using the transmastoid-infralabyrinthine (TM-IL) approach, and 11 (22%) were treated with the infratemporal fossa type A (IFT-A) approach. Mean follow-up period was 8.2 years. Surgical cure was achieved in all but 6 patients using the TM-IL approach (84%) and in 8 of 11 patients with the IFT-A approach (73%). A House-Brackmann grade of I or II facial nerve function was obtained postoperatively in 84% of TM-IL cases and in 56% of the IFT-A cases. The incidence of other complications-meningitis and transient cerebrospinal fluid leak-was higher in the TM-IL group (8% and 13%, respectively) compared with the IFT-A group (0% and 9%, respectively). We concluded that the TM-IL approach with individually tailored management of the facial nerve fulfills the long-term requirements of both keeping good postoperative facial function and obtaining adequate tumor resection.

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Section: Discussionmentioning

confidence: 99%

“…2,3 Problems experienced by others using this technique resulted in alternative solutions to avoid anterior transposition. [4][5][6][7][8][9][10][11] With these techniques, 70 to 95% of patients retained normal postoperative facial function. 6,[11][12][13][14][15] However, the FN function is just one of the important aspects of jugular PGL surgery.…”

mentioning

confidence: 99%

Transmastoid-Infralabyrinthine Tailored Surgery of Jugular Paragangliomas

Gjuric

Bilić²

2009

Skull Base

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“…[25][26][27] However, the literature search identified only a few articles describing small case series that used this approach for jugular paragangliomas. [25][26][27] However, the literature search identified only a few articles describing small case series that used this approach for jugular paragangliomas.…”

Section: Non-rerouting Techniquementioning

confidence: 99%

Facial nerve management in jugular paraganglioma surgery: a literature review

Odat

et al. 2015

J. Laryngol. Otol.

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“…As originally described, the approach used either an intact canal wall technique or canal wall down mastoidectomy. 1 Maniglia et al 2 described the same operation but called it the inferior mastoidectomy-hypotympanic approach. Later, Pensak and Jackler 3 used the term fallopian bridge technique for selected jugular foramen tumors.…”

mentioning

confidence: 99%

“…3,4 With this technique, good facial nerve outcomes have been reported in patients with jugular foramen lesions. 1,3 However, because the mastoid segment of the facial nerve occupies the center of the operative field, most accept that it obstructs the surgical view to some extent and, as a consequence, makes tumor dissection difficult. The aim of this study was to analyze the surgical exposure of the jugular foramen afforded by the fallopian bridge technique.…”

mentioning

confidence: 99%