Transcrusal approach to the petroclival region with hearing preservation. Technical note and illustrative cases.
As a term, the "petrosal approach" to the petroclival region has a variety of meanings. The authors define a common nomenclature based on historical contributions and add new terminology to describe a technique of hearing preservation that allows for greater exposure of the petroclival region. The degree of temporal bone dissection defines five stages of operation. The authors used the second or "transcrusal" stage, in which the posterior and superior semicircular canals are sacrificed while preserving hearing, in six consecutive cases. Use of a common terminology ensures better understanding among surgeons. In the authors' hands, hearing has been successfully preserved in six patients after partial labyrinthectomy.
Horgan
M A
MA
Department of Neurosurgery, Oregon Health Sciences University, Portland, USA. Michael.Horgan@vtmednet.org
Delashaw
J B
JB
Schwartz
M S
MS
Kellogg
J X
JX
Spektor
S
S
McMenomey
S O
SO
D000328:Adult; D000368:Aged; D003388:Cranial Fossa, Posterior; D003392:Cranial Sinuses / Q000601:surgery*; D003399:Craniotomy; D007758:Ear, Inner / Q000601:surgery; D005260:Female; D006309:Hearing; D006801:Humans; D008279:Magnetic Resonance Imaging; D008577:Meningeal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D008579:Meningioma / Q000175:diagnosis / Q000601:surgery*; D008875:Middle Aged; D019635:Neurosurgical Procedures; D010579:Petrous Bone; D012665:Semicircular Canals / Q000601:surgery; D013701:Temporal Bone / Q000601:surgery; D014057:Tomography, X-Ray Computed