The translabyrinthine approach does not preserve hearing, while the retrosigmoid approach might.
The most commonly used surgical route was the translabyrinthine approach, which was used in 53 of the 67 cases (79.
one such procedure, the translabyrinthine approach
, results in total hearing loss in 100% of patients)
Although we recommended open surgery via a translabyrinthine approach, the patient refused it and refused gamma-knife treatment, as well.
In younger patients whose hearing is already poor, the tumor can be observed until it demonstrates increased growth or it can be removed via a translabyrinthine approach.
Exploration via a translabyrinthine approach
through a postauricular incision and standard mastoidectomy/ labyrinthectomy exposed a 1-cm intracanalicular tumor in the IAM.
At surgery, 20 patients underwent tumor removal via a translabyrinthine approach
and 1 (patient 5) via a retrosigmoid (lateral suboccipital) approach.
a transverse fracture) and anakusis is present, a translabyrinthine approach is used.
It was logical to extend the indications of this approach to the management of traumatic facial paralysis in cases of longitudinal fracture and to use the translabyrinthine approach for transverse fractures, thus eliminating any need for the middle fossa approach.
Among the 36 patients in the surgical group, the translabyrinthine approach was used to treat 32 (88.
17-21) Total excision via the translabyrinthine approach is appropriate for most patients, and in our series, this approach was used in almost 90% of cases.
The patient underwent a complete tumor resection via the translabyrinthine approach