Preservation of function in vestibular schwannoma surgery.

Gharabaghi, Alireza; Samii, Amir; Koerbel, Andrei; Rosahl, Steffen K; Tatagiba, Marcos; Samii, Madjid · Neurosurgery · 2007

review · Level V

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Abstract

The management and surgical technique for microsurgical tumor removal of vestibular schwannomas (acoustic neuroma) with the suboccipital retrosigmoid approach and semi-sitting patient positioning is described. An emphasis is placed on the preservation of auditory and facial nerve function with a stepwise description of the technical and operative nuances, including presurgical evaluation, positioning, anesthesiological and neurophysiological aspects, approach, microsurgical techniques, and postsurgical care.

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