Other Approaches

30 Other Approaches


Retrolabyrinthine Approach


Following a cortical mastoidectomy, exposure and incision of the posterior cranial fossa dura behind the semicircular canals, thus revealing the cerebellopontine angle.


Retrosigmoid Approach


After the exposure of the posterior part of the sigmoid sinus; carrying out a limited craniotomy by drilling the retrosigmoid area, and exposure and incision of the posterior cranial fossa dura, thus revealing the cerebellopontine angle.


Suboccipital Approach (with IAC Exposure)


Carrying out a direct suboccipital craniotomy and incising the dura, thus revealing the cerebellopontine angle; followed by drilling away the posterior wall of the internal auditory canal.


Transcochlear Approach (Modified)


Following a procedure similar to the transotic approach, uncovering the facial nerve, cutting the greater superficial petrosal nerve and transposing the facial nerve, i. e., labyrinthine, tympanic, and mastoid segments, posteriorly; thus allowing the exposure of all the medial structures, including the cerebellopontine angle.



Comment



  • The surgical steps of these four important neurotologic approaches are not presented either because they are not carried out directly on the temporal bone or because only a limited, additional step is required to complete these procedures following the approaches described within this surgical atlas.
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Jul 4, 2016 | Posted by in OTOLARYNGOLOGY | Comments Off on Other Approaches

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