Vestibular Nerve Section via Middle Cranial Fossa Approach.
Publication/Presentation Date
4-1-2022
Abstract
Vestibular nerve section (VNS) is a surgical intervention with hearing preservation used for the treatment of Menière's disease after conservative medical therapy has failed (1,2). With the recent rise in less invasive treatments such as intratympanic gentamicin, VNS has been performed less frequently (3). The middle cranial fossa (MCF) approach for VNS is an uncommon approach due to its technical difficulty. However, it can provide the best distinction of internal auditory canal contents compared with retrosigmoid and retrolabyrinthine approaches. Several advancements in the MCF approach have been described, including the use of intraoperative facial nerve monitoring with electromyography, early removal of the temporal lobe retractor, and the use of an ultrasonic bone aspirator for internal auditory canal decompression (4-6). We demonstrate a case study with a step-by-step approach to successfully sectioning the superior and inferior vestibular nerves while utilizing these advancements and avoiding facial and cochlear nerve injury via the MCF (7). SDC video link: http://links.lww.com/MAO/B409.
Volume
43
Issue
4
First Page
529
Last Page
529
ISSN
1537-4505
Published In/Presented At
Vesole, A. S., Shapiro, S. B., & Samy, R. N. (2022). Vestibular Nerve Section via Middle Cranial Fossa Approach. Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 43(4), e529. https://doi.org/10.1097/MAO.0000000000003480
Disciplines
Medicine and Health Sciences
PubMedID
35213481
Department(s)
Department of Surgery, Division of Otolaryngology
Document Type
Article