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Endoscope-Assisted Minimally Invasive Microsurgical Removal of a Medium-Sized Acoustic Neuroma (T3a) through a Retrosigmoid Mini-Craniotomy with Preservation of Hearing

A 45-year-old male patient with reduced hearing in the right ear was diagnosed with a medium-sized (T3a) acoustic neuroma. The operation was performed through an individually tailored retrosigmoid mini-craniotomy. Endoscope-assisted microsurgical technique was applied to early detect the location of...

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Autores principales: Kurucz, Peter, Barany, Laszlo, Buchfelder, Michael, Ganslandt, Oliver
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2019
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6534660/
https://www.ncbi.nlm.nih.gov/pubmed/31143588
http://dx.doi.org/10.1055/s-0038-1677488
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author Kurucz, Peter
Barany, Laszlo
Buchfelder, Michael
Ganslandt, Oliver
author_facet Kurucz, Peter
Barany, Laszlo
Buchfelder, Michael
Ganslandt, Oliver
author_sort Kurucz, Peter
collection PubMed
description A 45-year-old male patient with reduced hearing in the right ear was diagnosed with a medium-sized (T3a) acoustic neuroma. The operation was performed through an individually tailored retrosigmoid mini-craniotomy. Endoscope-assisted microsurgical technique was applied to early detect the location of the facial and cochlear nerves as well as to look around the hidden corners during the surgery. The entire operation was performed without using brain retractors. The moderate intrameatal extension of the tumor and the use of angled endoscopes allowed to avoid the drilling of the internal auditory meatus. The lesion could be completely removed and the patient showed a satisfactory hearing recovery in the follow-up examinations 3 months after the surgery. The link to the video can be found at: https://youtu.be/dAYLakih924 .
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spelling pubmed-65346602020-06-01 Endoscope-Assisted Minimally Invasive Microsurgical Removal of a Medium-Sized Acoustic Neuroma (T3a) through a Retrosigmoid Mini-Craniotomy with Preservation of Hearing Kurucz, Peter Barany, Laszlo Buchfelder, Michael Ganslandt, Oliver J Neurol Surg B Skull Base A 45-year-old male patient with reduced hearing in the right ear was diagnosed with a medium-sized (T3a) acoustic neuroma. The operation was performed through an individually tailored retrosigmoid mini-craniotomy. Endoscope-assisted microsurgical technique was applied to early detect the location of the facial and cochlear nerves as well as to look around the hidden corners during the surgery. The entire operation was performed without using brain retractors. The moderate intrameatal extension of the tumor and the use of angled endoscopes allowed to avoid the drilling of the internal auditory meatus. The lesion could be completely removed and the patient showed a satisfactory hearing recovery in the follow-up examinations 3 months after the surgery. The link to the video can be found at: https://youtu.be/dAYLakih924 . Georg Thieme Verlag KG 2019-06 2019-02-18 /pmc/articles/PMC6534660/ /pubmed/31143588 http://dx.doi.org/10.1055/s-0038-1677488 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Kurucz, Peter
Barany, Laszlo
Buchfelder, Michael
Ganslandt, Oliver
Endoscope-Assisted Minimally Invasive Microsurgical Removal of a Medium-Sized Acoustic Neuroma (T3a) through a Retrosigmoid Mini-Craniotomy with Preservation of Hearing
title Endoscope-Assisted Minimally Invasive Microsurgical Removal of a Medium-Sized Acoustic Neuroma (T3a) through a Retrosigmoid Mini-Craniotomy with Preservation of Hearing
title_full Endoscope-Assisted Minimally Invasive Microsurgical Removal of a Medium-Sized Acoustic Neuroma (T3a) through a Retrosigmoid Mini-Craniotomy with Preservation of Hearing
title_fullStr Endoscope-Assisted Minimally Invasive Microsurgical Removal of a Medium-Sized Acoustic Neuroma (T3a) through a Retrosigmoid Mini-Craniotomy with Preservation of Hearing
title_full_unstemmed Endoscope-Assisted Minimally Invasive Microsurgical Removal of a Medium-Sized Acoustic Neuroma (T3a) through a Retrosigmoid Mini-Craniotomy with Preservation of Hearing
title_short Endoscope-Assisted Minimally Invasive Microsurgical Removal of a Medium-Sized Acoustic Neuroma (T3a) through a Retrosigmoid Mini-Craniotomy with Preservation of Hearing
title_sort endoscope-assisted minimally invasive microsurgical removal of a medium-sized acoustic neuroma (t3a) through a retrosigmoid mini-craniotomy with preservation of hearing
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6534660/
https://www.ncbi.nlm.nih.gov/pubmed/31143588
http://dx.doi.org/10.1055/s-0038-1677488
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