AIM Retrosigmoid approach to the posterior fossa has been a popular and dependable approach for accessing the cerebellopontine angle (CPA) and petroclival region. Although this approach is commonly used, it requires cerebellar retraction and has limitations when the lesion is located ventral to the brainstem. The aim was to quantify the angle of view provided by extended retrosigmoid approach i...

introduction: to report our experience with a large series of surgical procedures for removal of cerebellopontine angle (cpa) tumors using different approaches.   materials and methods: this was a retrospective analysis of 50 patients (mean age, 49 years) with cpa tumors (predominantly acoustic neuroma) who underwent surgical removal using appropriate techniques (principally a translabyrinthine...

BACKGROUND The traditional suboccipital craniotomy in the retrosigmoid approach gives limited exposure to the cerebellopontine angle (CPA) structures and necessitates cerebellar retraction, whereas the addition of drilling of the mastoid process with reflection of venous sinuses offers wider exposure of the CPA and avoids cerebellar retraction. We describe the details of the surgical technique ...

Cerebrospinal fluid (CSF) leaks may occur after acoustic neuroma resection. These leaks are usually the result of an iatrogenic injury during removal. The retrosigmoid approach is commonly associated with leaks that occur through the lateral end of the internal auditory canal, through the perilabyrinthine cells extending to the region of the internal auditory canal, or through the retrosigmoid ...

Tumours of the cerebellopontine angle (CPA) account for 5% to 10% of all intracranial neoplasms. Various surgical approaches are possible for providing access to tumours of the CPA. The retrosigmoid approach to the posterior cranial fossa is the latest of numerous modifications of the classic suboccipital approach originally popularized by Harvey Cushing. The aim of this review is to discuss th...

OBJECTIVE To investigate the postoperative auditory and facial nerve function results after cerebellopontine angle meningioma removal. DESIGN Retrospective chart review. SETTING Tertiary care referral center. PATIENTS Twenty-one patients undergoing surgical removal of cerebellopontine angle meningiomas by the senior author (R.J.W.). INTERVENTIONS Translabyrinthine or retrosigmoid approa...

cavernous hemangioma is a rare benign tumor of the internal auditory canal (iac) of which fourteen cases have been reported so far. tinnitus and progressive sensorineural hearing loss (snhl) are the chief complaints of the patients. audiological and radiological planes, ctscan, and magnetic resonance image (mri) studies are helpful in diagnosis. the only choice of treatment is surgery with elec...

We reported the recovery of sensorineural hearing loss and tinnitus in a 22-year-old man after complete removal of intracranial portion of jugular foramen schwannoma via the retrosigmoid approach. The aim of this case report was to present the excision of a large jugular foramen schwannoma via the retrosigmoid approach and to describe the improvement of sensorineural hearing loss related to ara...