Abstract | BACKGROUND: METHODS: We used a novel hockey stick-shaped retromastoid skin incision, preserving the major nerves of the occipital and temporal areas. Microsurgical steps were performed without the use of retractors. CSF leakage was prevented with a watertight dural closure and multilayer osteodural reconstruction. RESULTS: The refined surgical steps were perfected in the last consecutive 15 cases of our series. In these cases we did not record any cutaneous pain, sensory disturbances, or CSF leakage. The average diameter of the craniectomy was 18 mm. No patient reported major complications related to the intradural microsurgical maneuvers. In all cases the neurovascular conflict was found and solved with a good outcome in terms of pain disappearance. CONCLUSIONS: Our minimally invasive approach was demonstrated to guarantee an optimal exposure of the cerebellopontine angle and minimize the rate of complications related to skin incision and muscular dissection, microsurgical steps, and closure.
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Authors | Francesco Tomasello, Felice Esposito, Rosaria V Abbritti, Filippo F Angileri, Alfredo Conti, Salvatore M Cardali, Domenico La Torre |
Journal | World neurosurgery
(World Neurosurg)
Vol. 94
Pg. 26-31
(Oct 2016)
ISSN: 1878-8769 [Electronic] United States |
PMID | 27373414
(Publication Type: Journal Article)
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Copyright | Copyright © 2016 Elsevier Inc. All rights reserved. |
Topics |
- Cerebrospinal Fluid Leak
(prevention & control)
- Cranial Nerve Injuries
(prevention & control)
- Hearing Loss
(prevention & control)
- Humans
- Microsurgery
(methods)
- Microvascular Decompression Surgery
(methods)
- Pain, Postoperative
(prevention & control)
- Patient Positioning
- Postoperative Complications
(prevention & control)
- Sensation Disorders
(prevention & control)
- Trigeminal Neuralgia
(surgery)
- Wound Closure Techniques
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