CC BY-NC-ND 4.0 · J Neurol Surg B 2019; 80(S 03): S279-S280
DOI: 10.1055/s-0039-1677843
Skull Base: Operative Videos
Georg Thieme Verlag KG Stuttgart · New York

Transcanal Microscopic Transpromontorial Approach for Vestibular Schwannoma

Brandon Isaacson
1  Department of Otolaryngology–Head and Neck Surgery, University of Texas, Southwestern Medical Center, Dallas, Texas, United States
,
Anthony M. Tolisano
2  Department of Otolaryngology, University of Texas Southwestern Medical Center, Dallas, Texas, United States
,
Ankur Ramanlal Patel
3  Department of Neurological Surgery, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas, United States
,
Samuel L. Barnett
3  Department of Neurological Surgery, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas, United States
› Author Affiliations
Further Information

Publication History

30 May 2018

11 November 2018

Publication Date:
28 February 2019 (eFirst)

  

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.