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Retrosigmoid Approach for Vestibular Schwannoma Surgery

  • Pınar Eser Ocak
  • Ihsan Dogan
  • Sima Sayyahmelli
  • Mustafa K. BaskayaEmail author
Chapter

Abstract

The retrosigmoid approach offers hearing preservation for small and medium-sized vestibular schwannomas while providing excellent exposure of the cerebellopontine angle and lateral cerebellomedullary cisterns that contain critical neurovascular structures. A 3 × 3 cm retrosigmoid craniotomy with exposure of the TSSJ and an approximately 1/4 of the medial border of the sigmoid sinus is sufficient enough in many cases of VS surgeries. With small and medium-sized tumors, the initial exposure of the tumor includes its lateral part of the tumor, the AICA and its subarcuate branch, the lower cranial nerves and the PICA in the inferior aspect of the tumor, as well as the petrosal vein in the rostral aspect. Good postoperative FN function can be achieved by, maintaining the blood supply of the FN, minimizing bipolar coagulation around the nerve, preserving the arachnoid plane between the tumor and the FN, and keeping the tumor capsule intact during internal decompression. Surgical precautions to achieve a better postoperative hearing outcome include; gentle manipulation of the CoN, obtaining meticulous hemostasis, providing a bloodless surgical field, protecting the labyrinthine artery, avoiding excessive retraction of the cerebellum and compression of the brainstem, preservation of veins, keeping the drilling field clean to avoid aseptic meningitis, and appropriate monitoring of the CoN during the surgery. Complications of the surgery may include; cranial nerve dysfunctions such as facial, cochlear, and lower cranial nerves, CSF leak and meningitis, headache, disequilibrium, tinnitus, and also tumor recurrence.

Keywords

Vestibular schwannoma Acoustic neuroma Retrosigmoid approach Facial nerve Cerebellopontine angle Hearing preservation 

Supplementary material

Video 4.1

Microsurgical resection of vestibular schwannoma with hearing preservation via retrosigmoid approach: 2D operative video (ZIP 824145 kb)

Video 4.2

Retrosigmoid approach: demonstration of opening and closure (ZIP 257163 kb)

Video 4.3

Demonstration of retrosigmoid approach in cadaveric dissection: 3D video (ZIP 403036 kb)

Video 4.4

Gross total resection of vestibular schwannoma with hearing preservation via retrosigmoid approach: 3D operative video (ZIP 415684 kb)

References

  1. 1.
    Elhammady MS, Telischi FF, Morcos JJ. Retrosigmoid approach: indications, techniques, and results. Otolaryngol Clin N Am. 2012;45(2012):375–97.CrossRefGoogle Scholar
  2. 2.
    Ugur HC, Dogan I, Kahilogullari G, Al-Beyati ES, Ozdemir M, Kayaci S, Comert A. New practical landmarks to determine sigmoid sinus free zones for suboccipital approaches: an anatomical study. J Craniofac Surg. 2013;24(5):1815–8.PubMedCrossRefGoogle Scholar
  3. 3.
    Tubbs SR, Fries FN, Kulwin C, Mortazavi MM, Loukas M, Cohen-Gadol AA. Modified skin incision for avoiding the lesser occipital nerve and occipital artery during retrosigmoid craniotomy: potential applications for enhancing operative working distance and angles while minimizing the risk of postoperative neuralgias and intraoperative hemorrhage. J Clin Neurosci. 2016;32:83–7.PubMedCrossRefGoogle Scholar
  4. 4.
    Abolfotoh M, Dunn IF, Al-Mefty O. Transmastoid retrosigmoid approach to the cerebellopontine angle: surgical technique. Neurosurgery. 2013;73(1 Suppl Operative):ons16–23.PubMedGoogle Scholar
  5. 5.
    Doğan I, Özgüral O, Eroğlu Ü, Al-Beyati ESM, Kilinç CM, Cömert A, Uğur HÇ. Preoperative exposure of sigmoid sinus trajectory in posterolateral cranial base approaches using a new landmark through a neurosurgical perspective. J Craniofac Surg. 2018;29(1):220–5.PubMedGoogle Scholar
  6. 6.
    Tubbs RS, Loukas M, Shoja MM, Bellew MP, Cohen-Gadol AA. Surface landmarks for the junction between the transverse and sigmoid sinuses: application of the “strategic” burr hole for suboccipital craniotomy. Neurosurgery. 2009;65:37–41.PubMedGoogle Scholar
  7. 7.
    Day JD, Tschabitscher M. Anatomic position of the asterion. Neurosurgery. 1998;42:198–9.PubMedCrossRefGoogle Scholar
  8. 8.
    Hamasaki T, Morioka M, Nakamura H, Yano S, Hiral T, Kuratsu J. A 3-dimensional computed tomographic procedure for planning retrosigmoid craniotomy. Neurosurgery. 2009;64(5 Suppl 2):241–5.PubMedGoogle Scholar
  9. 9.
    Ucerler H, Govsa F. Asterion as a surgical landmark for lateral cranial base approaches. J Craniomaxillofac Surg. 2006;34(7):415–20.PubMedCrossRefGoogle Scholar
  10. 10.
    Ribas GC, Rhoton AL Jr, Cruz OR, Peace D. Suboccipital burr holes and craniectomies. Neurosurg Focus. 2005;19(2):1–12.Google Scholar
  11. 11.
    Cıkla U, Kujoth GC, Başkaya MK. A stepwise illustration of the retrosigmoid approach for resection of a cerebellopontine meningioma. Neurosurg Focus. 2014;36(1 Suppl):1.PubMedCrossRefGoogle Scholar
  12. 12.
    Sweeney AD, Carlson ML, Ehtesham M, Thompson RC, Haynes DS. Surgical approaches for vestibular schwannoma. Curr Otorhinolaryngol Rep. 2014;2(4):256–64.CrossRefGoogle Scholar
  13. 13.
    Rhoton AL Jr, Tedeschi H. Microsurgical anatomy of acoustic neuroma. Neurosurg Clin N Am. 2008;19(2):145–74.PubMedCrossRefGoogle Scholar
  14. 14.
    Jackler RK, Pitts LH. Selection of surgical approach to acoustic neuroma. Neurosurg Clin N Am. 2008;19(2):217–38.PubMedCrossRefGoogle Scholar
  15. 15.
    Cohen NL. Retrosigmoid approach for acoustic tumor removal. Neurosurg Clin N Am. 2008;19:239–50.PubMedCrossRefGoogle Scholar
  16. 16.
    Tatagiba M, Matthies C, Samii M. Microendoscopy of the internal auditory canal in vestibular schwannoma surgery. Neurosurgery. 1996;38:737–40.PubMedCrossRefGoogle Scholar
  17. 17.
    Ojemann RG. Retrosigmoid approach to acoustic neuroma (vestibular schwannoma). Neurosurgery. 2001;48(3):553–8.PubMedCrossRefGoogle Scholar
  18. 18.
    Bennett M, Haynes D. Surgical approaches and complications in the removal of vestibular schwannomas. Otolaryngol Clin N Am. 2007;40(3):589–609.CrossRefGoogle Scholar
  19. 19.
    Chamoun R, MacDonald J, Shelton C, Couldwell WT. Surgical approaches for resecton of vestibular schwannomas: translabyrinthine, retrosigmoid, and middle fossa approaches. Neurosurg Focus. 2012;33(3):E9.PubMedCrossRefGoogle Scholar
  20. 20.
    Chen L, Chen L, Liu L, Ling F, Yuan X, Fang J, Liu Y. Vestibular schwannoma microsurgery with special reference to facial nerve preservation. Clin Neurol Neurosurg. 2009;11:47–53.CrossRefGoogle Scholar
  21. 21.
    Park CE, Park BJ, Lim YJ, Yeo SG. Functional outcomes in retrosigmoid approach microsurgery and gamma knife stereotactic radiosurgery in vestibular schwannoma. Eur Arch Otorhinolaryngol. 2011;268:955–9.PubMedCrossRefGoogle Scholar
  22. 22.
    Noudel R, Gomis P, Duntze J, Marnet D, Bazin A, Roche PH. Hearing preservation and facial nerve function after microsurgery for intracanalicular vestibular schwannomas: comparison for middle fossa and retrosigmoid approaches. Acta Neurochir. 2009;151(8):935–44.PubMedCrossRefGoogle Scholar
  23. 23.
    Zhao X, Wang Z, Ji Y, Wang C, Yu R, Ding X, Wei S. Long-term facial nerve function evaluation following surgery for large acoustic neuromas via retrosigmoid transmeatal approach. Acta Neurochir. 2010;152:1647–52.PubMedCrossRefGoogle Scholar
  24. 24.
    Coletti V, Fiorino F. Middle fossa versus retrosigmoid-transmeatal approach in vestibular schwannoma surgery: A prospective study. Otol Neurotol. 2003;24:927–34.CrossRefGoogle Scholar
  25. 25.
    Zou P, Zhao L, Chen P, Xu H, Liu N, Zhao P, Lu A. Functional outcome and postoperative complications after the microsurgical removal of large vestibular schwannomas via the retrosigmoid approach: a meta-analysis. Neurosurg Rev. 2014;37:15–21.PubMedCrossRefGoogle Scholar
  26. 26.
    Sekhar LN, Gormley WB, Wright DC. The best treatment for vestibular schwannoma (acoustic neuroma): microsurgery or radiosurgery? Am J Otol. 1996;17:676–89.PubMedGoogle Scholar
  27. 27.
    Samii M, Gerganov V, Samii A. Improved preservation of hearing and facial nerve function in vestibular schwannoma surgery via the retrosigmoid approach in a series of 200 patients. J Neurosurg. 2006;105:527–35.PubMedCrossRefGoogle Scholar
  28. 28.
    Samii M, Gerganov VM, Samii A. Functional outcome after complete surgical removal of giant vestibular schwannomas. J Neurosurg. 2010;112(4):860–7.PubMedCrossRefGoogle Scholar
  29. 29.
    Boublata L, Belahreche M, Ouchtati R, Shabhay Z, Boutiah L, Kebache M, Nadji M, Djenna Z, Bounecer H, Ioualalen N. Facial nerve function and quality of resection in large and giant vestibular schwannomas surgery operated by retrosigmoid transmeatal approach in semi-sitting position with intraoperative facial nerve monitoring. World Neurosurg. 2017;103:231–40.PubMedCrossRefGoogle Scholar
  30. 30.
    Anderson DE, Leonetti J, Wind JJ, Cribari D, Fahey K. Resection of large vestibular schwannomas: facial nerve preservation in the context of surgical approach and patient-assessed outcome. J Neurosurg. 2005;102:643–9.PubMedCrossRefGoogle Scholar
  31. 31.
    Kobayashi M, Tsunoda A, Komatsuzaki A, Yamada I. Distance from acoustic neuroma to fundus and a postoperative facial palsy. Laryngoscope. 2002;112:168–71.PubMedCrossRefGoogle Scholar
  32. 32.
    Ocak PE, Dogan I, Ocak U, Dinc C, Baskaya MK. Facial nerve outcome and extent of resection in cystic versus solid vestibular schwannomas in radiosurgery era. Neurosurg Focus. 2018;44(3):E3.Google Scholar
  33. 33.
    Welling DB, Slater PW, Thomas RD, McGregor JM, Goodman JE. The learning curve in vestibular schwannoma surgery. Am J Otol. 1999;20(5):644–8.PubMedGoogle Scholar
  34. 34.
    Moffat DA, Parker RA, Hardy DG, Macfarlene R. Factors affecting final facial nerve outcome following vestibular schwannoma surgery. J Laryngol Otol. 2014;128(5):406–15.PubMedCrossRefGoogle Scholar
  35. 35.
    Bloch DC, Oghalai JS, Jackler RK, Osofsky M, Pitts LH. The rate of tumor remnant after less-than-complete acoustic neuroma resection. Otolaryngol Head Neck Surg. 2004;130:104–12.PubMedCrossRefGoogle Scholar
  36. 36.
    Sampath P, Holliday MJ, Brem H, Niparko JK, Long DM. Facial nerve injury in acoustic neuroma (vestibular schwannoma) surgery: etiology and prevention. J Neurosurg. 1997;87:60–6.PubMedCrossRefGoogle Scholar
  37. 37.
    Isaacson B, Kileny PR, El-Kashlan H, Gadre AK. Intraoperative monitoring and facial nerve outcomes after vestibular schwannoma resection. Otol Neurotol. 2003;24:812–7.PubMedCrossRefGoogle Scholar
  38. 38.
    Grayeli AB, Guindi S, Kalamarides M, El Garem H, Smail M, Rey A, Sterkers O. Four-channel electromyography of the facial nerve in vestibular schwannoma surgery; sensitivity and prognostic value for short-term facial function outcome. Otol Neurotol. 2005;26:114–20.PubMedCrossRefGoogle Scholar
  39. 39.
    Neff BA, Ting J, Dickinson SL, Welling DB. Facial nerve monitoring parameters as a predictor of postoperative facial nerve outcomes after vestibular schwannoma resection. Otol Neurotol. 2005;26(4):728–32.PubMedCrossRefGoogle Scholar
  40. 40.
    Lalwani AK, Butt FY, Jackler RK, et al. Delayed onset of facial nerve dysfunction following acoustic neuroma surgery. Am J Otol. 1995;16(6):758–64.PubMedGoogle Scholar
  41. 41.
    Gianoli GJ, Kartush JM. Delayed facial palsy after acoustic neuroma resection: the role of viral reactivation. Am J Otol. 1996;17(4):625–9.PubMedGoogle Scholar
  42. 42.
    Grant GA, Rostomily RR, Kim DK, et al. Delayed facial palsy after resection of vestibular schwannoma. J Neurosurg. 2002;97(1):93–6.PubMedCrossRefGoogle Scholar
  43. 43.
    Morton RP, Ackerman PD, Pisansky MT, et al. Prognostic factors for the incidence and recovery of delayed facial nerve palsy after vestibular schwannoma resection. J Neurosurg. 2011;114(2):375–80.PubMedCrossRefGoogle Scholar
  44. 44.
    Arts HA, Telian SA, El-Kashlan H, et al. Hearing preservation and facial nerve outcomes in vestibular schwannoma surgery: results using middle cranial fossa approach. Otol Neurotol. 2006;17:234–41.CrossRefGoogle Scholar
  45. 45.
    Oghalai JS, Buxbaum JL, Pitts LH, et al. The effect of age on acoustic neuroma surgery outcomes. Otol Neurotol. 2004;24:473–7.CrossRefGoogle Scholar
  46. 46.
    Ferber-Viart C, Laoust L, Boulud B, Duclaux R, Dubreuil C. Acuteness of preoperative factors to predict hearing preservation in acoustic neuroma surgery. Laryngoscope. 2000;110(1):145–50.PubMedCrossRefGoogle Scholar
  47. 47.
    Irving RM, Jackler RK, Pitts LH. Hearing preservation in patients undergoing vestibular schwannoma surgery: comparison of middle fossa and retrosigmoid approaches. J Neurosurg. 1998;88:840–5.PubMedCrossRefGoogle Scholar
  48. 48.
    Staecker H, Nadol JB Jr, Ojeman R, Ronner S, McKenna MJ. Hearing preservation in acoustic neuroma surgery: middle fossa versus retrosigmoid approach. Am J Otol. 2000;21(3):399–404.PubMedCrossRefGoogle Scholar
  49. 49.
    Shelton C. Hearing preservation in acoustic tumor surgery. Otolaryngol Clin N Am. 1992;25(2):609–21.Google Scholar
  50. 50.
    Harsha WJ, Baacckous DD. Counselling patients on surgical options for treating acoustic neuroma. Otolaryngol Clin N Am. 2005;38:643–52.CrossRefGoogle Scholar
  51. 51.
    Slattery WH, Brackmann DE, Heidelberger W. Middle fossa approach for hearing preservation with acoustic neuromas. Am J Otol. 1997;18:596–601.PubMedGoogle Scholar
  52. 52.
    Di Maio S, Malebranche AD, Westerberg B, Akagami R. Hearing preservation after microsurgical resection of large vestibular schwannomas. Neurosurgery. 2011;68:632–40.PubMedCrossRefGoogle Scholar
  53. 53.
    Fahlbusch R, Neu M, Strauss C. Preservation of hearing in large acoustic neuromas following removal via suboccipito-lateral approach. Acta Neurochir. 1998;140(8):771–8.PubMedCrossRefGoogle Scholar
  54. 54.
    Gormley WB, Sekhar LN, Wright DC, Kamerer D, Schessel D. Acoustic neuromas: results of current surgical management. Neurosurgery. 1997;41:50–8.PubMedCrossRefGoogle Scholar
  55. 55.
    Moffat DA, da Cruz MJ, Baguley DM, Beynon GJ, Hardy DG. Hearing preservation in solitary vestibular schwannoma surgery using the retrosigmoid approach. Otolaryngol Head Neck Surg. 1999;121:781–8.PubMedCrossRefGoogle Scholar
  56. 56.
    Wanibuchi M, Fukushima T, Friedman AH, Watanabe K, Akiyama Y, Mikami T, Iihoshi S, Murakami T, Sugino T, Mikuni N. Hearing preservation surgery for vestibular schwannomas via the retrosigmoid transmeatal approach: surgical tips. Neurosurg Rev. 2014;37:431–44.PubMedCrossRefGoogle Scholar
  57. 57.
    Van Leeuwen JP, Meijer E, Grotenhuis JA, Thijssen HO, Cremers CW. Suboccipital surgery for acoustic neuroma. Clin Otolaryngol. 1996;21:244–51.CrossRefGoogle Scholar
  58. 58.
    Roberson J, Senne A, Brackmann D, et al. Direct cochlear nerve action potentials as an aid to hearing preservation in middle fossa acoustic neuroma resection. Am J Otol. 1996;17:653–7.PubMedGoogle Scholar
  59. 59.
    Gouveris H, Mann W. Association between surgical steps and intraoperative auditory brainstem response and electrocochleography waveforms during hearing preservation vestibular schwannoma surgery. Eur Arch Otorhinolaryngol. 2009;266:225–9.PubMedCrossRefGoogle Scholar
  60. 60.
    Nonaka Y, Fukushima T, Watanabe K, Friedman AH, Sampson JH, Mcelveen JT Jr, Cunningham CD 3rd, Zomorodi AD. Contemporary surgical management of vestibular schwannomas: analysis of complications and lessons learned over the past decade. Neurosurgery. 2013;72(2 Suppl Operative):ons103–15.PubMedGoogle Scholar
  61. 61.
    Wanibuchi M, Fukushima T, McElveen JT Jr, Friedman AH. Hearing preservation in surgery for large vestibular schwannomas. J Neurosurg. 2009;111:845–54.PubMedCrossRefGoogle Scholar
  62. 62.
    Colletti V, Fiorino F. Is the middle fossa approach the treatment of choice for intracanalicular vestibular schwannoma. Otolaryngol Head Neck Surg. 2005;132:459–66.PubMedCrossRefGoogle Scholar
  63. 63.
    Mohr G, Sade B, Dufour JJ, Rappaport JM. Preservation of hearing in patients undergoing microsurgery for vestibular schwannoma: degree of meatal filling. J Neurosurg. 2005;102(1):1–5.PubMedCrossRefGoogle Scholar
  64. 64.
    Somers T, Casselman J, de Ceulaer G, Govaerts P, Offeciers E. Prognostic value of magnetic resonance imaging findings in hearing preservation surgery for vestibular schwannoma. Otol Neurotol. 2001;22(1):87–94.PubMedCrossRefGoogle Scholar
  65. 65.
    Rachinger J, Rampp S, Prell J, Scheller C, Alfieri A, Strauss C. Tumor origin and hearing preservation in vestibular schwannoma surgery. J Neurosurg. 2011;115:900–5.PubMedCrossRefGoogle Scholar
  66. 66.
    Jacob A, Robinson LL Jr, Bortman JS, Yu L, Dodson EE, Welling DB. Nerve of origin, tumor size, hearing preservation, and facial nerve outcomes in 359 vestibular schwannoma resections at a tertiary care academic center. Laryngoscope. 2007;117:2087–92.PubMedCrossRefGoogle Scholar
  67. 67.
    Moriyama T, Fukushima T, Asaoka K, Roche PH, Barrs DM, McElveen JT. Hearing preservation in acoustic neuroma surgery:importance of adhesion between the cochlear nerve and the tumor. J Neurosurg. 2002;97(2):337–40.PubMedCrossRefGoogle Scholar
  68. 68.
    Sulman CG, Vecchiotti MA, Semaan MT, Lewin JS, Megerian CA. Endolymphatic duct violation during retrosigmoid dissection of the internal auditory canal: a human temporal bone radiographic study. Laryngoscope. 2004;114:1936–40.PubMedCrossRefGoogle Scholar
  69. 69.
    Sekiya T, Moller AR, Jannetta PJ. Pathophysiological mechanism of intraoperative and post-operative hearing deficits in cerebellopontine angle surgery: an experimental study. Acta Neurochir. 1986;81(3–4):142–51.PubMedCrossRefGoogle Scholar
  70. 70.
    Samii M, Matthies C. Management of 1000 vestibular schwannomas (acoustic neuromas): surgical management and results with emphasis on complications and how to avoid them. Neurosurgery. 1997;40(1):11–21.PubMedGoogle Scholar
  71. 71.
    Huang X, Xu M, Xu J, Zhou L, Zhong P, Chen M, et al. Complications and management of large intracranial vestibular schwannoma via retrosigmoid approach. World Neurosurg. 2017;99:326–35.PubMedCrossRefGoogle Scholar
  72. 72.
    Fishman AJ, Hoffman RA, Roland JT, Lebowitz RA, Cohen NL. Cerebrospinal fluid drainage in the management of CSF leak following acoustic neuroma surgery. Laryngoscope. 1996;106:1002–4.PubMedCrossRefGoogle Scholar
  73. 73.
    Fishman AJ, Marrinan MS, Golfinos JG, Cohen NL, Roland TR Jr. Prevention and management of cerebrospinal fluid leak following vestibular schwannoma surgery. Laryngoscope. 2004;114:501–5.PubMedCrossRefGoogle Scholar
  74. 74.
    Sanna M, Taibah A, Russo A, Falcioni M, Agarwal M. Perioperative complications in acoustic neuroma (vestibular schwannoma) surgery. Otol Neurotol. 2004;25:379–86.PubMedCrossRefGoogle Scholar
  75. 75.
    Leonetti JP, Anderson DE, Newell DJ, et al. Posterior internal auditory canal closure following the retrosigmoid approach to the cerebellopontine angle. Am J Otol. 1993;14:31–3.PubMedCrossRefGoogle Scholar
  76. 76.
    Selesnick SH, Liu JC, Jen A, Newman J. The incidence of cerebrospinal fluid leak after vestibular schwannoma surgery. Otol Neurotol. 2004;25(3):387–93.PubMedCrossRefGoogle Scholar
  77. 77.
    Lüdemann WO, Stieglitz LH, Gerganov V, Samii A, Samii M. Fat implant is superior to muscle implant in vestibular schwannoma surgery for the prevention of cerebrospinal fluid fistulae. Neurosurgery. 2008;63(1 Suppl):ONS38–42.PubMedGoogle Scholar
  78. 78.
    Slattery WH III, Francis S, House KC. Perioperative morbidity of acoustic neuroma surgery. Otol Neurotol. 2001;22:895–902.PubMedCrossRefGoogle Scholar
  79. 79.
    Sughrue ME, Yang I, Aranda D, Rutkowski MJ, Fang S, Cheung SW, et al. Beyond audiofacial morbidity after vestibular schwannoma surgery. J Neurosurg. 2011;114:367–74.PubMedCrossRefGoogle Scholar
  80. 80.
    Arlt F, Trantakis C, Krupp W, Renner C, Winkler D, Strauss G, Meixensberger J. Cerebrospinal fluid leak after microsurgical surgery in vestibular schwannomas via retrosigmoid craniotomy. Neurol Res. 2011;33(9):947–52.PubMedCrossRefGoogle Scholar
  81. 81.
    Azad T, Mndelson ZS, Wong A, Jyung RW, Liu JK. Fat graft-assisted internal auditory canal closure after retrosigmoid transmeatal resection of acoustic neuroma: Technique for prevention of cerebrospinal fluid leakage. J Clin Neurosci. 2016;24:124–7.PubMedCrossRefGoogle Scholar
  82. 82.
    Lebowitz RA, Hoffman RA, Roland JT Jr, Cohen NL. Autologous fibrin glue in the prevention of cerebrospinal fluid leak following acoustic neuroma surgery. Am J Otol. 1995;16:172–4.PubMedCrossRefGoogle Scholar
  83. 83.
    Manjilla S, Weidenbecher M, Semaan MT, Megerian CA, Bambakidis NC. Prevention of postoperative cerebrospinal fluid leaks with multi-layered reconstruction using titanium mesh-hydrocyapetite cement cranioplasty after translabyrinthine resection of acoustic neuroma. J Neurosurg. 2013;119(1):113–20.CrossRefGoogle Scholar
  84. 84.
    Hillman TA, Shelton C. Resorbable plate cranioplasty after the translabyrinthine approach. 2012. Otol Neurotol. 2011;32(7):1171–4.PubMedCrossRefGoogle Scholar
  85. 85.
    Duong DH, O’Malley S, Sekhar LN, Wright DG. Postoperative hydrocephalus in cranial base surgery. Skull Base Surg. 2000;10:197–200.PubMedPubMedCentralCrossRefGoogle Scholar
  86. 86.
    Date I, Asari S, Ohmoto T. Tips for preventing cerebrospinal fluid rhinorrhea after acoustic neuroma surgery: technical note. Skull Base Surg. 1998;8:181–3.PubMedPubMedCentralCrossRefGoogle Scholar
  87. 87.
    Stieglitz LH, Wrede KH, Gharabaghi A, Gerganov VM, Samii A, Samii M, et al. Factors affecting postoperative cerebrospinal fluid leaks after retrosigmoid craniotomy for vestibular schwannoma. J Neurosurg. 2009;111:874–83.PubMedCrossRefGoogle Scholar
  88. 88.
    Selesnick SH, Liu JC, Jen A, Carew JF. Management options for cerebrospinal fluid leak after vestibular schwannoma surgery and introduction of an innovative treatment. Otol Neurotol. 2004;25(4):580–6.PubMedCrossRefGoogle Scholar
  89. 89.
    Becker SS, Jackler RK, Pitts LH. Cerebrospinal fluid leak after acoustic neuroma surgery: a comparison of the translabyrinthine, middle fossa, and retrosigmoid approaches. Otol Neurotol. 2003;24:107–12.PubMedCrossRefGoogle Scholar
  90. 90.
    Lee SH, Willcox TO Jr, Buchheit WA. Current results of the surgical management of acoustic neuroma. Skull Base. 2002;12:189–95.PubMedPubMedCentralCrossRefGoogle Scholar
  91. 91.
    Schessel DA, Rowed DW, Nedzelski JM, Feghali JG. Postoperative pain following excision of acoustic neurinoma by the suboccipital approach: observations of possible cause and potential amelioration. Am J Otol. 1993;14(5):491–4.PubMedGoogle Scholar
  92. 92.
    Glassock ME 3rd, Hays JW, Minor LB, Haynes DS, Carrasco VN. Preservation of hearing in surgery for acoustic neuroma. J Neurosurg. 1993;78:864–70.CrossRefGoogle Scholar
  93. 93.
    Ruckenstein MJ, Harris JP, Cueva RA, Prioleau G, Alksne J. Pain subsequent to resection of acoustic neuromas via suboccipital and translabyrinthine approaches. Am J Otol. 1996;17:620–4.PubMedGoogle Scholar
  94. 94.
    Ryzenman JM, Pensak ML, Tew JM Jr. Headache: a quality of life analysis in a cohort of 1657 patients undergoing acoustic neuroma surgery, results from the acoustic neuroma association. Laryngoscope. 2005;115:703–11.PubMedCrossRefGoogle Scholar
  95. 95.
    Schessel DA, Nedzelski JM, Rowed D, Feghali JG. Pain after surgery for acoustic neuroma. Otolaryngol Head Neck Surg. 1992;107:424–9.PubMedCrossRefGoogle Scholar
  96. 96.
    Ansari SF, Terry C, Cohen-Gadol AA. Surgery for vestibular schwannomas: a systematic review of complications by approach. Neurosurg Focus. 2012;33(3):E14.CrossRefGoogle Scholar
  97. 97.
    Schaller B, Baumann A. Headache after removal of vestibular schwannoma via the retrosigmoid approach: a long-term follow-up-study. Otolaryngol Head Neck Surg. 2003;128(3):387–95.PubMedCrossRefGoogle Scholar
  98. 98.
    Catalano PJ, Jacobowitz O, Post KD. Prevention of headache after retrosigmoid removal of acoustic tumours. Am J Otol. 1996;17:904–8.PubMedGoogle Scholar
  99. 99.
    Jackson CG, McGrew BM, Forest JA, Hampf CR, Glasscock ME 3rd, Brandes JL, Hanson MB. Comparison of postoperative headache after retrosigmoid approach: vestibular nerve section versus vestibular schwannoma resection. Am J Otol. 2000;21(3):412–6.PubMedCrossRefGoogle Scholar
  100. 100.
    Levo H, Blomstedt G, Hirvonen T, Pyykkö I. Causes of persistent postoperative headache after surgery for vestibular schwannoma. Clin Otolaryngol. 2001;26(5):401–6.PubMedCrossRefGoogle Scholar
  101. 101.
    Eklund S. Headache in Meniere’s disease. Auris Nasus Larynx. 1999;26(4):427–33.PubMedCrossRefGoogle Scholar
  102. 102.
    Silverman DA, Hughes GB, Kinney SE, Lee JH. Technical modifications of suboccipital craniectomy for prevention of postoperative headache. Skull Base. 2004;14(2):77–84.PubMedPubMedCentralCrossRefGoogle Scholar
  103. 103.
    Koperer H, Deinsberger W, Jödicke A, Böker DK. Postoperative headache after the lateral suboccipital approach: craniotomy versus craniectomy. Minim Invasive Neurosurg. 1999;42(4):175–8.PubMedCrossRefGoogle Scholar
  104. 104.
    Wazen JJ, Sisti M, Lam SM. Cranioplasty in acoustic neuroma surgery. Laryngoscope. 2000;110:1294–7.PubMedCrossRefGoogle Scholar
  105. 105.
    Porter RG Sr, Leonetti JP, Ksiazek J, Anderson D. Association between adipose graft usage and postoperative headache after retrosigmoid craniotomy. Otol Neurotol. 2009;30(5):635–9.PubMedCrossRefGoogle Scholar
  106. 106.
    Yamashima T, Lee JH, Tobias S, Kim CH, Chang JH, Kwon JT. Surgical procedure “simplified retrosigmoid approach” for C-P angle lesions. J Clin Neurosci. 2004;11(2):168–71.PubMedCrossRefGoogle Scholar
  107. 107.
    Li Z, Lan Q. Retrosigmoid keyhole approach to the posterior cranial fossa: an anatomical and clinical study. Eur Surg Res. 2010;44(1):56–63.PubMedCrossRefGoogle Scholar
  108. 108.
    Feghali JG, Elowitz EH. Split calvarial graft cranioplasty for the prevention of headache after retrosigmoid resection of acoustic neuromas. Laryngoscope. 1998;108(10):1450–2.PubMedCrossRefGoogle Scholar
  109. 109.
    McLaughlin MR, Jannetta PJ, Clyde BL, Subach BR, Comey CH, Resnick DK. Microvascular decompression of cranial nerves: lessons learned after 4400 operations. J Neurosurg. 1999;90(1):1–8.PubMedCrossRefGoogle Scholar
  110. 110.
    Ducic I, Felder JM III, Endara M. Postoperative headache following acoustic neuroma resection: occipital nerve injuries are associated with a treatable occipital neuralgia. Headache J Head Face Pain. 2012;52:1136–45.CrossRefGoogle Scholar
  111. 111.
    Maurer J, Frommeld T, Mann W. Vestibular function after acoustic neuroma removal with preservation of one branch of the vestibular nerve. Otol Neurotol. 2002;23:749–54.PubMedCrossRefGoogle Scholar
  112. 112.
    Charalampakis S, Koutsimpelas D, Gouveris H, Mann W. Post-operative complications after removal of sporadic vestibular schwannoma via retrosigmoid-suboccipital approach: current diagnosis and management. Eur Arch Otorhinolaryngol. 2011;2688:653–60.CrossRefGoogle Scholar
  113. 113.
    Driscoll CL, Lynn SG, Harner SG, Beatty CW, Atkinson EJ. Preoperative identification of patients at risk of developing persistent dysequilibrium after acoustic neuroma removal. Am J Otol. 1998;19:491–5.PubMedGoogle Scholar
  114. 114.
    Anderson F, Kinnefois A, Ekvall L, Rask-Andersen H. Tinnitus and translabyrinthine acoustic neuroma surgery. Audiol Neurootol. 1997;2:403–9.CrossRefGoogle Scholar
  115. 115.
    Fahy C, Nikolopoulos TP, O’Donoghue GM. Acoustic neuroma surgery and tinnitus. Eur Arch Otorhinolaryngol. 2002;259:299–301.PubMedGoogle Scholar
  116. 116.
    Kohno M, Shinogami M, Yoneyama H, Nagata O, Sora S, Sato H. Prognosis of tinnitus after acoustic neuroma surgery--surgical management of postoperative tinnitus. World Neurosurg. 2014;81(2):357–67.PubMedCrossRefGoogle Scholar
  117. 117.
    Grauvogel J, Kaminsky J, Rosahl SK. The impact of tinnitus and vertigo on patient-perceived quality of life after cerebellopontine angle surgery. Neurosurgery. 2010;67:601–10.PubMedCrossRefGoogle Scholar
  118. 118.
    Tysome JR, Moffat DA. Magnetic resonance imaging after translabyrinthine complete excision of vestibular schwannomas. J Neurol Surg B Skull Base. 2012;73:121–4.PubMedPubMedCentralCrossRefGoogle Scholar
  119. 119.
    Nakatomi H, Jacob JT, Carlson ML, Tanaka S, Tanaka M, Saito N, Lohse CM, Driscoll CLW, Link MJ. Long-term risk of recurrence and regrowth after gross-total and subtotal resection of sporadic vestibular schwannoma. J Neurosurg. 2017;19:1–7.CrossRefGoogle Scholar
  120. 120.
    Carlson ML, van Abel KN, Driscoll CL, Neff BA, Beatty CW, Lane JI, Castner ML, Lohse CM, Link MJ. Magnetic resonance imaging surveillance following vestibular schwannoma resection. Laryngoscope. 2012;122(2):378–88.PubMedCrossRefGoogle Scholar
  121. 121.
    Wackym PA, King WA, Poe DS, Meyer GA, Ojemann RG, Barker FG, Walsh PR, Staecker H. Adjunctive use of endoscopy during acoustic neuroma surgery. Laryngoscope. 1999;109(8):1193–201.PubMedCrossRefGoogle Scholar
  122. 122.
    Ahmad RA, Sivalingam S, Topsakal V, Russo A, Taibah A, Sanna M. Rate of recurrent vestibular schwannoma after total removal via different surgical approaches. Ann Otol Rhinol Laryngol. 2012;121(3):156–61.PubMedCrossRefGoogle Scholar
  123. 123.
    Schmerber S, Palombi O, Boubagra S, et al. Long-term control of vestibular schwannoma after a translabyrinthine complete removal. Neurosurgery. 2005;57:693–8.PubMedCrossRefGoogle Scholar
  124. 124.
    Mueller DP, Gantz BJ, Dolan KD. Gadolinium-enhanced MR of the postoperative internal auditory canal following acoustic neuroma resection via the middle fossa approach. AJNR Am J Neuroradiol. 1992;13(1):197–200.PubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Pınar Eser Ocak
    • 1
  • Ihsan Dogan
    • 1
  • Sima Sayyahmelli
    • 1
  • Mustafa K. Baskaya
    • 1
    Email author
  1. 1.Department of Neurological SurgeryUniversity of Wisconsin School of Medicine and Public HealthMadisonUSA

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