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Middle fossa acoustic tumor surgery: Results in 106 cases
Author(s) -
Shelton Clough,
Brackmann Derald E.,
House William F.,
Hitselberger William E.
Publication year - 1989
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198904000-00009
Subject(s) - middle fossa , auditory canal , medicine , facial nerve , middle cranial fossa , acoustic neurinoma , surgery , middle ear
Although the middle cranial fossa approach has been used less frequently in recent years than in the past, it continues to be a useful technique for the removal of small acoustic tumors with possible hearing preservation. The approach provides complete exposure of the contents of the internal auditory canal, thus allowing positive facial nerve identification and facilitating total tumor removal. This paper reports the results of 106 middle fossa acoustic tumor removals over a 25‐year period. Measurable postoperative hearing remained in 59% of cases. In 89% of cases, normal or near‐normal postoperative facial nerve function was obtained. Total tumor removal was achieved in 98% of cases. Preoperative selection criteria are discussed, and postoperative complications are reported.