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Combined petrosal approach.

Sean P Polster1, Peleg M Horowitz1, Issam A Awad1

  • 1Section of Neurosurgery.

Current Opinion in Otolaryngology & Head and Neck Surgery
|July 26, 2018
PubMed
Summary
This summary is machine-generated.

The combined petrosal approach offers wide access to the lateral skull base for treating complex lesions. Advancements have made this hearing-preserving technique a safer surgical option.

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Area of Science:

  • Neurosurgery
  • Skull Base Surgery

Background:

  • The lateral skull base presents surgical challenges due to complex anatomy.
  • The combined petrosal approach integrates middle and posterior fossa craniotomies for enhanced access.

Purpose of the Study:

  • To detail the historical development and description of the combined petrosal approach.
  • To review relevant anatomy, focusing on the vein of Labbé, to mitigate complications.
  • To assess outcomes for various lesions treated with this approach.

Main Methods:

  • Historical review of the combined petrosal approach.
  • Anatomical review emphasizing critical structures.
  • Literature review of outcomes for lesion treatment.

Main Results:

  • The combined petrosal approach provides extensive access to the lateral skull base, clivus, prepontine space, and cerebellopontine angle.
  • Understanding venous anatomy, such as the vein of Labbé, is crucial for avoiding complications.
  • Literature demonstrates successful application for diverse pathologies.

Conclusions:

  • The combined petrosal approach is a valuable hearing-preserving technique for lateral skull base pathologies.
  • Continuous advancements have improved the safety and efficacy of this surgical method.
  • This approach offers wide access to critical middle and posterior fossa structures.