2008
DOI: 10.1007/s00701-007-1403-y
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Abstract: Radical surgical removal of SPM is possible with minimal morbidity and may cure the patient. The effectiveness and outcome of surgery for small petroclival meningiomas should be compared with series treated by radiosurgery.

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Cited by 43 publications
(31 citation statements)
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“…Recently, most surgeons have tended to move away from radical resection to preservation of quality of life. 4,12,26,33,34,38,39,42,50 Moreover, the availability of stereotactic radiosurgery (SRS), 16 which has been associated with excellent tumor-growth control and progression-free survival rates with a long-term follow-up, has also affected treatment algorithms. Nevertheless, many skull base surgeons continue to advocate for aggressive resection whenever possible.…”
Section: Neurosurg Focus 35 (6):e11 2013mentioning
confidence: 99%
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“…Recently, most surgeons have tended to move away from radical resection to preservation of quality of life. 4,12,26,33,34,38,39,42,50 Moreover, the availability of stereotactic radiosurgery (SRS), 16 which has been associated with excellent tumor-growth control and progression-free survival rates with a long-term follow-up, has also affected treatment algorithms. Nevertheless, many skull base surgeons continue to advocate for aggressive resection whenever possible.…”
Section: Neurosurg Focus 35 (6):e11 2013mentioning
confidence: 99%
“…7,51 In cadaveric models, little is achieved using a partial labyrinthectomy alone compared with a retrolabyrinthine approach. 35,42 Furthermore, the partial labyrinthectomy also risks the loss of hearing. Therefore, some authors have used the combined petrosal approach, which incorporates the retrolabyrinthine approach and the anterior transpetrosal approach, to preserve hearing and to maximize the petroclival exposure by removing the petrous apex.…”
Section: Surgical Approachesmentioning
confidence: 99%
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“…Due to the deep location of these lesions and their proximity to eloquent neurovascular structures, resection of PCM was associated with a high level of morbidity and mortality in the past [4,6,7,9,17,26,41]. Advances in microsurgery and introduction of refined skull base techniques have considerably improved clinical outcome to where mortality is rare and severe morbidity unlikely [15,22,23,27,29,32]. Nowadays, with the advent of radiosurgery, a shift of treatment paradigm has been recommended by many authors, advocating subtotal removal of PCM and subsequent irradiation of tumor remnants in order to minimize surgical morbidity and improve quality of life [13,14,21,30].…”
Section: Introductionmentioning
confidence: 98%
“…In the past decade, several approaches have been applied to resect PCMs including translabyrinthine, transcochlear, total petrosal, retrosigmoid, subtemporal, orbitozygomatic, and combinations of the above [4][5][6][7][8][9][10][11][12] in the effort to remove tumors in different regions and try to improve the treatment outcome. Each approach has its advantages and disadvantages, apart from limitations and potential complications.…”
Section: Introductionmentioning
confidence: 99%