• Neurosurgery · Mar 2005

    Review

    Suboccipital retrosigmoid approach for removal of vestibular schwannomas: facial nerve function and hearing preservation.

    • Ivan Ciric, Jin-cheng Zhao, Sami Rosenblatt, Richard Wiet, and Brian O'Shaughnessy.
    • Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, and Evanston Northwestern Healthcare, Evanston, Illinois, USA.
    • Neurosurgery. 2005 Mar 1; 56 (3): 560-70; discussion 560-70.

    AbstractIn this report, we discuss the pertinent bony, arachnoid, and neurovascular anatomy of vestibular schwannomas that has an impact on the surgical technique for removal of these tumors, with the goal of facial nerve and hearing preservation. The surgical technique is described in detail starting with anesthesia, positioning, and neurophysiological monitoring and continuing with the exposure, technical nuances of tumor removal, hemostasis, and closure. Positive prognostic factors for hearing preservation are also highlighted.

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