Comprehensive review of the extended middle cranial fossa approach.
Publication/Presentation Date
10-1-2018
Abstract
PURPOSE OF REVIEW: To review the current literature on the extended middle cranial fossa (xMCF) approach and to provide a comprehensive description of the relevant anatomy, indications, surgical technique, results, and complications.
RECENT FINDINGS: The xMCF approach expands the surgical exposure provided by the sMCF approach, allowing access to the internal auditory canal, cerebellopontine angle, prepontine cistern, anterior petrous apex, petrous carotid artery, Meckel's cave, cavernous sinus, mid and upper clivus, and posterior lesions approaching the jugular foramen. Preservation of serviceable hearing is possible with success rates approximating 50% in vestibular schwannoma and meningioma resection, and facial nerve outcome is excellent.
SUMMARY: The xMCF is an important approach for difficult to access lesions that additionally offers the possibility of hearing preservation. This approach is also useful for vascular lesions, auditory brainstem implantation, and lesions of mid-brainstem.
Volume
26
Issue
5
First Page
286
Last Page
292
ISSN
1531-6998
Published In/Presented At
Lipschitz, N., Kohlberg, G. D., Zuccarello, M., & Samy, R. N. (2018). Comprehensive review of the extended middle cranial fossa approach. Current opinion in otolaryngology & head and neck surgery, 26(5), 286–292. https://doi.org/10.1097/MOO.0000000000000471
Disciplines
Medicine and Health Sciences
PubMedID
29957681
Department(s)
Department of Surgery, Division of Otolaryngology
Document Type
Article