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Journal of Korean Neurosurgical Society > Volume 43(1); 2008 > Article
Journal of Korean Neurosurgical Society 2008;43(1): 57-60.
doi: https://doi.org/10.3340/jkns.2008.43.1.57
Staging in Vestibular Schwannoma Surgery: A Modified Technique.
Ealmaan Kim, Sung Il Nam
1Skull Base Division, Department of Neurosurgery, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea. bach1158@dsmc.or.kr
2Department of Otorhinolaryngology, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.
The authors herein propose the staged excision as a novel strategy to preserve facial nerve and minimize complication during microsurgery of large vestibular schwannoma (VS). At the first stage, for reducing mass effect on the brain stem and cerebellum, subtotal tumor resection was performed via a retrosigmoid craniotomy without intervention of meatal portion of tumor. With total resection of the remaining tumor, the facial nerve was decompressed and delineated during the second stage translabyrinthine approach at a later date. A 38-year-old female who underwent the staging operation for resection of her huge VS is illustrated.
Key Words: Vestibular schwannoma; Surgical approach; Operative technique; Two-stage excision; Facial nerve; Outcome
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