Transcanal Microscopic Transpromontorial Approach for Vestibular Schwannoma

Brandon Isaacson, Anthony M. Tolisano, Ankur Ramanlal Patel, Samuel L Barnett

Research output: Contribution to journalArticle

Abstract

Objectives This video demonstrates the transcanal transpromontorial approach for resection of vestibular schwannoma. Design/Setting/Participants Present study is based on a video of a single patient undergoing the above approach at a tertiary care skull base surgery program. Results This video demonstrates a transcanal microscopic transpromontorial approach for resection of an enlarging intracanalicular vestibular schwannoma in a young patient with nonserviceable hearing. The video highlights the pertinent surgical anatomy and outlines, in a step-by-step fashion, the approach to the internal auditory canal via this minimally invasive approach. The surgical indications and reconstructive techniques are also discussed (Fig. 1). Conclusions A transcanal microscopic transpromontorial approach for vestibular schwannoma is feasible and offers a minimally invasive option for patients electing for microsurgical resection. The link to the video can be found at: https://youtu.be/-oKkRooytws.

Original languageEnglish (US)
Pages (from-to)S279-S280
JournalJournal of Neurological Surgery, Part B: Skull Base
Volume80
DOIs
StatePublished - Jan 1 2019

Keywords

  • lateral skull base
  • minimally invasive
  • transpromontorial approach
  • vestibular schwannoma

ASJC Scopus subject areas

  • Clinical Neurology

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