Vestibular tributaries to the vein of the vestibular aqueduct

Hansen, Jesper Marsner; Qvortrup, Klaus; Friis, Mogens Laue

doi:10.3109/00016489.2010.511260

Cited by 1 publication

(4 citation statements)

References 17 publications

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“…In agreement with other Authors 16 an individualized surgical treatment of PBC should strive to achieve the least recurrence rate as well as the facial functional outcome, at the price of sacrificing hearing.…”

Section: Advancements and Open Issuessupporting

confidence: 83%

“…Most surgeons address PBC on the basis of their personal experience and surgical skills 16 ; in tertiary referral Skull Base/Neuro-Otology centers these lesion are more often managed by a systematic approach 1417 ; nevertheless, an approach tailored on the location and extension of the disease observed with current imaging modalities and accounting for the pre-operative functional status is reasonable.…”

Section: Advancements and Open Issuesmentioning

confidence: 99%

“…Nevertheless, in those rare cases with preserved hearing and normal inner ear anatomy, a labyrinthectomy and a cochleostomy might be sidestepped and a more conservative approach considered. Conversely, no question about sacrificing the hearing remnants should rise in case of massive or inaccessible cholesteatoma 1623 .…”

Section: Advancements and Open Issuesmentioning

confidence: 99%

“…In the event of nerve interruption, its repair through either primary neurorrhaphy or nerve grafting, with great auricular or sural nerve 24 , based on the length and location of the injured nerve segment, can be performed simultaneously. In case of long-standing palsies, a hypoglossal-facial nerve transfer is preferred 16 . In all procedures, a recovery not exceeding House-Brackmann grade III can be expected 14524 , with the exception of primary direct anastomosis.…”

Section: Advancements and Open Issuesmentioning

confidence: 99%

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Surgery of the lateral skull base: a 50-year endeavour

Zanoletti¹,

Mazzoni²,

Martini³

et al. 2019

Acta Otorhinolaryngol Ital

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SUMMARY Disregarding the widely used division of skull base into anterior and lateral, since the skull base should be conceived as a single anatomic structure, it was to our convenience to group all those approaches that run from the antero-lateral, pure lateral and postero-lateral side of the skull base as “Surgery of the lateral skull base”. “50 years of endeavour” points to the great effort which has been made over the last decades, when more and more difficult surgeries were performed by reducing morbidity. The principle of lateral skull base surgery, “remove skull base bone to approach the base itself and the adjacent sites of the endo-esocranium”, was then combined with function preservation and with tailoring surgery to the pathology. The concept that histology dictates the extent of resection, balancing the intrinsic morbidity of each approach was the object of the first section of the present report. The main surgical approaches were described in the second section and were conceived not as a step-by-step description of technique, but as the highlighthening of the surgical principles. The third section was centered on open issues related to the tumor and its treatment. The topic of vestibular schwannoma was investigated with the current debate on observation, hearing preservation surgery, hearing rehabilitation, radiotherapy and the recent efforts to detect biological markers able to predict tumor growth. Jugular foramen paragangliomas were treated in the frame of radical or partial surgery, radiotherapy, partial “tailored” surgery and observation. Surgery on meningioma was debated from the point of view of the neurosurgeon and of the otologist. Endolymphatic sac tumors and malignant tumors of the external auditory canal were also treated, as well as chordomas, chondrosarcomas and petrous bone cholesteatomas. Finally, the fourth section focused on free-choice topics which were assigned to aknowledged experts. The aim of this work was attempting to report the state of the art of the lateral skull base surgery after 50 years of hard work and, above all, to raise questions on those issues which still need an answer, as to allow progress in knowledge through sharing of various experiences. At the end of the reading, if more doubts remain rather than certainties, the aim of this work will probably be achieved.

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Section: Advancements and Open Issuessupporting

confidence: 83%