The Fully Endoscopic Acoustic Neuroma Surgery

Daniele Marchioni; Marco Carner; Alessia Rubini; João Flávio Nogueira; Barbara Masotto; Matteo Alicandri-Ciufelli; Livio Presutti

doi:10.1016/j.otc.2016.05.014

The Fully Endoscopic Acoustic Neuroma Surgery

Otolaryngol Clin North Am. 2016 Oct;49(5):1227-36. doi: 10.1016/j.otc.2016.05.014.

Authors

Daniele Marchioni¹, Marco Carner¹, Alessia Rubini², João Flávio Nogueira³, Barbara Masotto⁴, Matteo Alicandri-Ciufelli⁵, Livio Presutti⁶

Affiliations

¹ Otolaryngology Department, University Hospital of Verona, Borgo Trento Via Aristide Stefani 1, Verona 37100, Italy.
² Otolaryngology Department, University Hospital of Verona, Borgo Trento Via Aristide Stefani 1, Verona 37100, Italy. Electronic address: rubinialessia@gmail.com.
³ Sinus & Oto Centro, Hospital Geral de Fortaleza, Rua Dr. José Furtado 1480, Fortaleza 60822-300, Brazil.
⁴ Neurosurgery Department, University Hospital of Verona, Borgo Trento Via Aristide Stefani 1, 10, Verona 37100, Italy.
⁵ Otolaryngology Department, University Hospital of Modena, Via del Pozzo 71, Modena 41100, Italy; Neurosurgery Department, New Civil Hospital Sant'Agostino-Estense, Stradello Baggiovara 53, Baggiovara, MO 41126, Italy.
⁶ Otolaryngology Department, University Hospital of Modena, Via del Pozzo 71, Modena 41100, Italy.

PMID: 27565388
DOI: 10.1016/j.otc.2016.05.014

Abstract

Surgical approaches to vestibular schwannomas (VS) are widely known and extensively recorded. For the first time, an exclusive endoscopic approach to the internal acoustic canal (IAC) was described and used to safely remove a cochlear schwannoma involving IAC in March 2012. The aim of this article was to summarize indications and technique to treat intracanalicular VS by transcanal/transpromontorial endoscopic approach. Because management of intracanalicular VSs is complex and strongly debated, this kind of therapeutic option in the appropriate and selected cases could modify classic concepts of the management of this pathology.

Keywords: Acoustic neuroma; Facial nerve; Internal auditory canal; Transcanal/Transpromontorial endoscopic approach.

Publication types

Review

MeSH terms

Anatomic Landmarks
Ear Canal
Endoscopy / methods*
Humans
Neuroma, Acoustic / surgery*
Postoperative Care