title: The endoscopic approach to vestibular schwannomas and posterolateral skull base pathology.
abstract: This article provides an overview of the technical considerations of endoscopy of the posterolateral skull base and cerebellopontine angle (CPA). Specific areas of focus are on the instrumentation requirements for neuroendoscopy of the CPA; the learning curve associated with this technique; and a complete description of the surgical techniques necessary to perform the procedure, along with outcomes and results. The article provides a general overview of the endoscopic approach to the CPA. For a variety of pathologies, the emphasis is on performing this technique for acoustic tumors and hearing preservation. Insights as to how the author's practice evolved in its use of neuroendoscopic procedures are provided.
authors.affiliation: Michigan Head and Spine Institute, 26850 Providence Parkway, Suite 240, Novi, MI 48374, USA. Pieperd@usa.net
authors.forename: Daniel R
authors.initials: DR
authors.lastname: Pieper
mesh_terms: D002530:Cerebellopontine Angle / Q000473:pathology* / Q000601:surgery; D004867:Equipment Design; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008866:Microsurgery / Q000379:methods; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods; D044582:Neuroendoscopes; D044583:Neuroendoscopy / Q000009:adverse effects / Q000379:methods*; D009464:Neuroma, Acoustic / Q000175:diagnosis / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000295:instrumentation / Q000379:methods; D013506:Otologic Surgical Procedures / Q000295:instrumentation / Q000379:methods; D011183:Postoperative Complications / Q000503:physiopathology; D011379:Prognosis; D018570:Risk Assessment; D019291:Skull Base / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome