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Translabyrinthine approach to internal auditory meatus: A retrospective study
Sunil Goyal1, Kiran Natarajan2, Amarnath Devarasetty3
1Neuro-otology Trainee, Madras ENT Research Foundation (Pvt) Ltd, Raja Annamalai Puram, Chennai 600028, India.
Medical Journal, Armed Forces India
|February 2, 2018
Summary
The translabyrinthine approach is a versatile surgical technique for neuro-otologists managing various internal auditory canal (IAM) conditions. This retrospective study reviews its application in cases including vestibular schwannoma and a unique IAM tuberculoma.
Area of Science:
- Neurosurgery
- Otolaryngology
- Skull Base Surgery
Background:
- Lateral skull base surgery demands intricate anatomical knowledge for optimal patient outcomes.
- The translabyrinthine approach is a key surgical technique for neuro-otologists.
Purpose of the Study:
- To delineate current indications for the translabyrinthine approach to the internal auditory canal (IAM).
- To offer a neuro-otologist's perspective on the utility of this surgical pathway.
Main Methods:
- Retrospective case series analysis.
- Review of 7 patients undergoing the translabyrinthine approach at a single center.
Main Results:
- The translabyrinthine approach was used for Vestibular Schwannoma, Facial nerve schwannoma, and Cholesteatoma involving the IAM.
- Cases included Meniere's disease with refractory vertigo and a suspected tuberculoma of the IAM.
Conclusions:
- The translabyrinthine approach is suitable for diverse clinical scenarios within the IAM.
- This study highlights the approach's effectiveness through retrospective case reviews.
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