Data on tumor size, hearing, and vestibular function were retrieved retrospectively from the files of 127 consecutive patients operated at our tertiary referral center by the translabyrinthine (TLA) or retrolabyrinthine
(RLA) approach for sporadic VS.
The cholesteatoma was present in the antrum, periantral, retrofacial, retrolabyrinthine
, sinodural angle, tip cells, and around the sinus plate.
"Value of retrolabyrinthine
approach for surgical resection of meningiomas inserted around the lateral sinus between the transverse and sigmoid parts," J.
Superficial siderosis causing retrolabyrinthine
involvement in both cochlear and vestibular branches of the 8th cranial nerve.
Petrosal presigmoid approach to the petro-clival and anterior cerebellopontine region (extended retrolabyrinthine
, transtentorial approach).
The following patients were excluded from the study: those who (1) complained of bilateral acute hearing loss; (2) did not complain of dizziness or ipsilateral tinnitus as an accompanying symptom; (3) refused to answer the questionnaires; (4) had a history of trauma in the ipsilateral temporal area; (5) had abnormal physical findings in the ipsilateral ear (otitis media, otitis externa, or perforation of the tympanic membrane); (6) had a retrolabyrinthine
lesion detected by radiological evaluation (vestibular schwannoma, etc.); (7) had a genetic or craniofacial syndrome; or (8) refused follow-up PTA.
CT findings in patients with ELST include retrolabyrinthine
bone destruction between the fundus of the internal auditory canal and the sigmoid sinus.
versus middle fossa vestibular neurectomy.
In 1972, Hitselberger and Pulec described the retrolabyrinthine
approach for trigeminal nerve sections.
Forty-eight of these patients underwent excision of the nervus intermedius and geniculate ganglion alone, 13 had previously undergone a selective retrolabyrinthine
Vth nerve section, and three had undergone a selective retrolabyrinthine
Vth nerve section after excision of the nervus intermedius and geniculate ganglion.
A comparison of retrosigmoid IAC, retrolabyrinthine
, and middle fossa vestibular neurectomy for treatment of vertigo.
This combination procedure can also be performed via the retrolabyrinthine
approach, but with this approach there is much less room in the cerebellopontine angle in which to work.