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Endoscopic resection through a retrosigmoid transmeatal approach of a large-sized vestibular schwannoma: operative video and technical nuances

Surgical management of vestibular schwannomas has improved over the last 30 years. Whereas in the past the primary goal was to preserve the patient’s life, today neurological function safeguarding is the main objective, with numerous strategies involving single resection, staged resections, postoper...

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Autores principales: Giovannini, Sebastián J. M., Caffaratti, Guido, Centeno, Tomas Ries, Ruella, Mauro, Villamil, Facundo, Marengo, Ricardo, Cervio, Andrés
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Association of Neurological Surgeons 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9551639/
https://www.ncbi.nlm.nih.gov/pubmed/36285232
http://dx.doi.org/10.3171/2021.7.FOCVID21106
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author Giovannini, Sebastián J. M.
Caffaratti, Guido
Centeno, Tomas Ries
Ruella, Mauro
Villamil, Facundo
Marengo, Ricardo
Cervio, Andrés
author_facet Giovannini, Sebastián J. M.
Caffaratti, Guido
Centeno, Tomas Ries
Ruella, Mauro
Villamil, Facundo
Marengo, Ricardo
Cervio, Andrés
author_sort Giovannini, Sebastián J. M.
collection PubMed
description Surgical management of vestibular schwannomas has improved over the last 30 years. Whereas in the past the primary goal was to preserve the patient’s life, today neurological function safeguarding is the main objective, with numerous strategies involving single resection, staged resections, postoperative radiosurgery, or single radiosurgery. The retrosigmoid approach remains the primary pathway for surgical access to the cerebellopontine angle (CPA). The use of an endoscope has great advantages. It contributes to the visualization and resection of residual tumor and also reduces the need for cerebellar retraction. The authors present a fully endoscopic resection of a large-sized vestibular schwannoma with facial nerve preservation. The video can be found here: https://stream.cadmore.media/r10.3171/2021.7.FOCVID21106
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spelling pubmed-95516392022-10-24 Endoscopic resection through a retrosigmoid transmeatal approach of a large-sized vestibular schwannoma: operative video and technical nuances Giovannini, Sebastián J. M. Caffaratti, Guido Centeno, Tomas Ries Ruella, Mauro Villamil, Facundo Marengo, Ricardo Cervio, Andrés Neurosurg Focus Video Article Surgical management of vestibular schwannomas has improved over the last 30 years. Whereas in the past the primary goal was to preserve the patient’s life, today neurological function safeguarding is the main objective, with numerous strategies involving single resection, staged resections, postoperative radiosurgery, or single radiosurgery. The retrosigmoid approach remains the primary pathway for surgical access to the cerebellopontine angle (CPA). The use of an endoscope has great advantages. It contributes to the visualization and resection of residual tumor and also reduces the need for cerebellar retraction. The authors present a fully endoscopic resection of a large-sized vestibular schwannoma with facial nerve preservation. The video can be found here: https://stream.cadmore.media/r10.3171/2021.7.FOCVID21106 American Association of Neurological Surgeons 2021-10-01 /pmc/articles/PMC9551639/ /pubmed/36285232 http://dx.doi.org/10.3171/2021.7.FOCVID21106 Text en © 2021, The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the CC BY license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
Giovannini, Sebastián J. M.
Caffaratti, Guido
Centeno, Tomas Ries
Ruella, Mauro
Villamil, Facundo
Marengo, Ricardo
Cervio, Andrés
Endoscopic resection through a retrosigmoid transmeatal approach of a large-sized vestibular schwannoma: operative video and technical nuances
title Endoscopic resection through a retrosigmoid transmeatal approach of a large-sized vestibular schwannoma: operative video and technical nuances
title_full Endoscopic resection through a retrosigmoid transmeatal approach of a large-sized vestibular schwannoma: operative video and technical nuances
title_fullStr Endoscopic resection through a retrosigmoid transmeatal approach of a large-sized vestibular schwannoma: operative video and technical nuances
title_full_unstemmed Endoscopic resection through a retrosigmoid transmeatal approach of a large-sized vestibular schwannoma: operative video and technical nuances
title_short Endoscopic resection through a retrosigmoid transmeatal approach of a large-sized vestibular schwannoma: operative video and technical nuances
title_sort endoscopic resection through a retrosigmoid transmeatal approach of a large-sized vestibular schwannoma: operative video and technical nuances
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9551639/
https://www.ncbi.nlm.nih.gov/pubmed/36285232
http://dx.doi.org/10.3171/2021.7.FOCVID21106
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