title: The enlarged middle cranial fossa approach for surgery of the temporal bone and of the cerebellopontine angle.
abstract: Due to the fact that the temporal bone has broad segments of bone anterior to and behind the internal auditory canal which are empty of functionally important structures, a broad exposure of the cerebellopontine angle may be obtained from above. This technique is adequate for the management of acoustic neurinomas up to 3 cm in diameter. A low postoperative morbidity and a high percentage of hearing preservation with total tumor removal were obtained in a series of 190 cases. This report underlines the advantages of the procedure and points to various other indications.
authors.affiliation: Department of Otorhinolaryngology, University of Erlangen-Nuremberg, Federal Republic of Germany.
authors.forename: M E
authors.initials: ME
authors.lastname: Wigand
authors.forename: T
authors.initials: T
authors.lastname: Haid
authors.forename: M
authors.initials: M
authors.lastname: Berg
mesh_terms: D002530:Cerebellopontine Angle / Q000601:surgery; D005500:Follow-Up Studies; D006319:Hearing Loss, Sensorineural / Q000209:etiology; D006801:Humans; D009464:Neuroma, Acoustic / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D013701:Temporal Bone / Q000601:surgery