OBJECTIVE Postoperative headache is an undesirable consequence of retrosigmoid vestibular schwannoma (VS) removal. An ultrasonic bone aspirator (UBA) may reduce headache by minimizing subarachnoid bone dust dispersion. The feasibility of removing internal auditory canal (IAC) bone with a UBA is unknown. This study assessed volume and duration of IAC bone removal in clinical and laboratory setti...

Background Postoperative headache is a major complaint after retrosigmoid surgery. affects patient's quality of life. Craniotomy may have role in the prevention such headaches. We aimed to evaluate craniectomy versus craniotomy via approach reducing incidence postoperative Materials and methods Patients who underwent surgery between January 2012 December 2018 were retrospectively assessed class...

OBJECTIVES/HYPOTHESIS Approach-specific economic data of acoustic neuroma (AN) resection is lacking. The purpose of this study was to analyze and compare adjusted total hospital costs, hospital and intensive care unit (ICU) length of stay (LOS), and associated factors in AN patients undergoing resection by translabyrinthine (TL) approach versus retrosigmoid (RS) approach. STUDY DESIGN Retrosp...

This chapter discusses the unique challenges that endoscopic skull base surgery present to the neuroanesthesiologist. The neuroanesthesiology team plays a vital role in ensuring a safe outcome to this delicate surgery. Highly specialized endoscopic techniques and equipment, together with the use of sophisticated intraoperative monitoring, all mandate skillful anesthesia management that is tailo...