Retrolabyrinthine Craniectomy: The Unsung Hero of Skull Base Surgery

Despite being the foundation of, or supplement to, many skull base exposures, the retrolabyrinthine approach has not been adequately illustrated in the skull base literature. As an aid to skull base surgeons in training, this article provides a step-by-step description of the microsurgical anatomy and operative nuances of this important technique.

Cerebellopontine angle - retrolabyrinthine approach - temporal bone

REFERENCES

• 1 Kemink J L, Hoff J T. Retrolabyrinthine vestibular nerve section: analysis of results.  Laryngoscope. 1986;  96 33-36
• 2 McElveen Jr J T, Shelton C, Hitselberger W E, Brackmann D E. Retrolabyrinthine vestibular neurectomy: a reevaluation.  Laryngoscope. 1988;  98 502-506
• 3 Nguyen C D, Brackmann D E, Crane R T, Linthicum F H, Hitselberger W E. Retrolabyrinthine vestibular nerve section: evaluation of technical modification in 143 cases.  Am J Otol. 1992;  13 328-332
• 4 Silverstein H, Norrell H, Rosenberg S. The resurrection of vestibular neurectomy: a 10-year experience with 115 cases.  J Neurosurg. 1990;  72 533-540
• 5 Arriaga M, Shelton C, Nassif P, Brackmann D E. Selection of surgical approaches for meningiomas affecting the temporal bone.  Otolaryngol Head Neck Surg. 1992;  107 738-744
• 6 Darrouzet V, Guerin J, Aouad N, Dutkiewics J, Blayney A W, Bebear J P. The widened retrolabyrinthe approach: a new concept in acoustic neuroma surgery.  J Neurosurg. 1997;  86 812-821
• 7 Day J D, Fukushima T, Giannotta S L. Cranial base approaches to posterior circulation aneurysms.  J Neurosurg. 1997;  87 544-554
• 8 Kinney S E, Hughes G B, Little J R. Retrolabyrinthine transtentorial approach to lesions of the anterior cerebellopontine angle.  Am J Otol. 1992;  13 426-430
• 9 Horgan M A, Delashaw J B, Schwartz M S, Kellogg J X, Spektor S, McMenomey S O. Transcrusal approach to the petroclival region with hearing preservation. Technical note and illustrative cases.  J Neurosurg. 2001;  94 660-666