VESTIBULAR NEUROTOMY BY RETROSIGMOID APPROACHTECHNIQUE, INDICATIONS, AND RESULTS
作者:
Jacques Magnan,
Georges Bremond,
André Chays,
Dominique Gignac,
Alain Florence,
期刊:
The American Journal of Otology
(OVID Available online 1991)
卷期:
Volume 12,
issue 2
页码: 101-104
ISSN:0192-9763
年代: 1991
出版商: OVID
数据来源: OVID
摘要:
ABSTRACTDuring the past 15 years, 96 retrosigmoid vestibular neurotomies have been used in the surgical management of incapacitating Meniere's disease for the control of vertigo and preservation of hearing. This posterior approach of the pontocerebellar angle gives the best view on the acousticofacial nerve bundle, through a 2 x 2 cm suboccipital craniotomy immediately behind the mastoid and sigmoid sinus. Then the vestibular nerve is easily identified, separated from the cochlear nerve and sectioned, the facial nerve not being at risk, as it lies much deeper. Actually, the majority of authors agree that vestibular neurotomy is the most effective surgical treatment in relieving disabling vertigo (96% of cases) with serviceable hearing, but few surgeons know that the retrosigmoid approach is simpler and more reliable than the middle fossa or retrolabyrinthine approaches, with a low incidence of complications. The purpose of this paper is to emphasize the routine use of the retrosigmoid approach.
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