Skip to main content
SpringerLink
Log in

Surgery of the Internal Auditory Canal and Cerebellopontine Angle

  • Chapter
Surgery of the Skull Base

Abstract

The internal auditory canal and the structures of the cerebellopontine angle are accessible through three surgical approaches (Krmpotic et al. 1985):

  1. 1)

    The transtemporal extradural approach (Fisch 1976; House 1964).

  2. 2)

    The transmastoid translabyrinthine approach (Fisch 1976).

  3. 3)

    The lateral suboccipital (retrosigmoid) approach.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Apfelbaum RI (1977) A comparison of gerrutaneous radiofrequency trigeminal neurolysis and microvascular decompression of the trigeminal nerve for the treatment of tic douloureux. Neurosurgery 1:16–21.

    Article  PubMed  CAS  Google Scholar 

  • Ballance CA (1894) Cited in Glasscock (1968).

    Google Scholar 

  • Bailance CA (1907) Some points in the surgery of the brain and its membranes. Macmillan, London.

    Google Scholar 

  • Borchardt M (1905) Zur Operation der Tumoren des Kleinhirnbrückenwinkels. Berl Klin Wschr 42: 1033–1035.

    Google Scholar 

  • Bornemann H, Hundeshagen H, Franke KD (1982) Digitale Szintigraphie des Mittel-und Innenohres. Radioaktive Isotope. Klin Forsch 15:403.

    Google Scholar 

  • Bornemann H, Franke KD, Bornemann C, Hundeshagen H (1983) Die Bedeutung der cochleomeatalen Szintigraphie zur Diagnostik des Akustikusneurinomes. Arch Otorhinolaryngol Suppl 1983/11, p 314–316.

    Google Scholar 

  • Campbell E, Keedy C (1947) Hemifacial spasm: a note on the etiology in two cases. J Neurosurg 4:342–347.

    Article  PubMed  CAS  Google Scholar 

  • Celis-Blaubach A (1973) La boucle vasculaire du conduit auditif interne. Ann Otolaryngol 90:717–722.

    CAS  Google Scholar 

  • Chavanne F, Troullieur (1905) De la section intra-cran-ienne du nerf auditif. Bulletins et Memoires de la Société Française d’Otologie et de Laryngeologie. Tome XXI, Maloine Edit, Paris.

    Google Scholar 

  • Choudard CH (1972) Recherche sur l’organisation intraaxiale des formations motrices et parasympathiques du nerf facial. These Med Paris 264:93 (III).

    Google Scholar 

  • Cohen N (1979) Acoustic neuroma surgery with emphasis on preservation of hearing. Laryngoscope 89:886–896.

    Article  PubMed  CAS  Google Scholar 

  • Cohen NL, Ransohoff J (1981) Preservation of hearing in acoustic neurinoma surgery. In: Samii M, Jannetta PJ (eds) The cranial nerves. Springer, Berlin Heidelberg New York, p 561–568.

    Google Scholar 

  • Cushing H (1917) Tumors of the nervus acusticus and the syndrome of the cerebellopontine angle. WB Saunders Philadelphia London.

    Google Scholar 

  • Dandy WE (1922) An operation for the total exstirpation of tumors of the cerebellopontine angle: a preliminary report. Bull Hopkins Hosp 33:344–345.

    Google Scholar 

  • Dandy WE (1925) An operation for the total removal of cerebellopontine (acoustic) tumors. Surg Gynecol Obstet 41:129–148.

    Google Scholar 

  • Dandy WE (1934) Concerning the cause of trigeminal neuralgia. Am J Surg 24:447–455.

    Article  Google Scholar 

  • Dandy WE (1941) Results of removal of acoustic tumors by the unilateral approach. Arch Surg 42:1026–1033.

    Article  Google Scholar 

  • Debrun G (1982) Treatment of certain intracerebral vascular lesions with balloon catheters. In: Schmideck HH, Sweet WH (eds) Operative neurosurgical techniques, vol 2. Grune & Stratton, New York, p 789.

    Google Scholar 

  • Di Tullio MV Jr, Malkasian D, Rand RW (1978) A critical comparison of neurosurgical and otolaryngological approaches to acoustic neuromas. J Neurosurg 48:l–12.

    Google Scholar 

  • Dott NM (1958) Facialis paralysis-restitution by extrapetrous nerve graft. Proc Roy Soc Med 51:900–902.

    PubMed  CAS  Google Scholar 

  • Fisch U (1970) Transtemporal surgery of the internal auditory canal. Adv Otorhinolaryngol 17:203–240.

    PubMed  CAS  Google Scholar 

  • Fisch U (1976) Chirurgie im inneren Gehörgang und an benachbarten Strukturen. In: Naumann HH (ed) Kopf-und Hals-Chirurgie Bd 3, S 457–543.

    Google Scholar 

  • Fisch U (1978) Otochirurgische Behandlung des Akustikusneurinoms. In: Plester D, Wende S, Nakayama N (eds) Kleinhirnbrückenwinkeltumoren. Springer, Berlin Heidelberg New York.

    Google Scholar 

  • Freckmann N, Nagenah R, Hermann HD, Müller D (1981) Treatment of neurogenic torticollis by microvascular lysis of the accessory nerve roots — indication, technique and first results. Acta Neurochirurgica 59:167–175.

    Article  PubMed  CAS  Google Scholar 

  • Gardner WJ (1962) Concerning the mechanism of trigeminal neuralgia and hemifacial spasm. J Neurosurg 19:947–957.

    Article  PubMed  CAS  Google Scholar 

  • Gardner WJ, Miklos MV (1959) Response of trigeminal neuralgia to “decompression” of the sensory root. J Am Med Ass (JAMA) 170:1773–1776.

    Article  CAS  Google Scholar 

  • Glasscock ME (1968) History of the diagnosis and treatment of acoustic neuroma. Arch Otolaryng 88:578.

    Article  PubMed  Google Scholar 

  • Glasscock ME, Hays JW, Miller GW, Drake FD, Kanok MM (1978) Preservation of hearing in tumors of the internal auditory canal and cerebellopontine angle. Laryngoscope 88:43–55.

    PubMed  Google Scholar 

  • Helms J (1978) Zur chirurgischen Anatomie des Felsenbeines. In: Plester D, Wende S, Nakayama N (eds) Kleinhirnbrückenwinkeltumoren. Springer, Berlin Heidelberg New York.

    Google Scholar 

  • Horrax G, Poppen JL (1949) The End Results of Complete Versus Intracapsular Removal of Acoustic Tumors. Ann Surg 130:567–575.

    Article  Google Scholar 

  • House WF (1961) Surgical exposure of the internal auditory canal and its contents through the middle cranial fossa. Laryngoscope 71:13–63-1385.

    Article  Google Scholar 

  • House WF (1962) Subarachnoid shunt for drainage of endolymphatic hydrops: A preliminary report. Laryngoscope 72:713.

    PubMed  CAS  Google Scholar 

  • House WF (1964) Evalution of transtemporal removal of acoustic neuromas. Arch Otolaryngol 80:731–750.

    Article  PubMed  CAS  Google Scholar 

  • House WF (1964) Monograph transtemporal bone microsurgical removal of acoustic neuromas. Arch Otolaryngol 80:597–730.

    Google Scholar 

  • House WF (1965) Subarachnoid shunt for drainage of hydrops. A report of 146 cases. Laryngoscope 75:1547–1551.

    PubMed  CAS  Google Scholar 

  • House WF (1976) Cited in Jongkees LBW Chirurgie des Mastoids und der Pyramidenspitze sowie des intratemporalen Nervus facialis. In: Naumann HH (ed) Kopf-und Halschirurgie Bd 3, S 162 ff..

    Google Scholar 

  • House WF, Hitselberger WE (1964) Morbidity and mortality of acoustic neuromas. Arch Otolaryngol 80:752–757.

    Article  PubMed  CAS  Google Scholar 

  • House WF, Hitselberger WE (1964) Transtemporal bone microsurgical removal of acoustic neuromas. Total versus subtotal removal of acoustic tumors. Arch Otolaryngol 80:751–752.

    Article  PubMed  CAS  Google Scholar 

  • Iwakuma T, Matsumoto A, Nakamura N (1982) Hemifacial spasm. Comparison of three different operative procedures in 110 patients. J Neurosurg 57:753–756.

    Article  PubMed  CAS  Google Scholar 

  • Jannetta PJ (1967) Structural mechanism of trigeminal neuralgia: Arterial compression of the trigeminal nerve at the pons in patients with trigeminal neuralgia. J Neurosurg 26(11): 159–162.

    PubMed  Google Scholar 

  • Jannetta PJ (1970) Microsurgical exploration and decompression of the facial nerve in hemifacial spasm. Curr Top Surg Res 2:217–220.

    Google Scholar 

  • Jannetta PJ (1976) Microsurgical approach to the trigeminal nerve for Tic douloureux. Progr Neurol Surg 7:180–200.

    Google Scholar 

  • Jannetta PJ (1977) Observations on the etiology of trigeminal neuralgia, hemifacial spasm, acoustic nerve dysfunction and glossopharyngeal neuralgia. Definitive microsurgical treatment and results in 117 patients. Neurochirurgia 20:145–154.

    PubMed  CAS  Google Scholar 

  • Jannetta PJ (1981a) Vascular decompression in trigeminal neuralgia. In: Samii M, Jannetta PJ (eds) The cranial nerves. Springer, Berlin Heidelberg New York, pp 331–340.

    Google Scholar 

  • Jannetta PJ (1981b) Hemifacial spasm. In: Samii M, Jannetta PJ (eds) The cranial nerves. Springer, Berlin Heidelberg New York, pp 484–493.

    Google Scholar 

  • Jannetta PJ, Bissonette DJ (1978) Bell’s Palsy: a theory as to etiology. Observations in six patients. Laryngoscope 88:849–8545.

    PubMed  CAS  Google Scholar 

  • Jannetta PJ, Gendell HM (1979) Clinical observations on etiology of essential hypertension. Surg Forum 30:431–432.

    PubMed  CAS  Google Scholar 

  • Körte W (1903) Ein Fall von Nervenpfropfung des N. facialis auf den N. hypoglossus. Dtsch Med Wschr 29:293–295.

    Article  Google Scholar 

  • Koos W (1977) Die Mikrochirurgie als Voraussetzung für Fortschritte in der Behandlung des Akustikusneurinoms. Wien Med Wochenschr 8:246–249.

    Google Scholar 

  • Krause F (1903) Zur Freilegung der hinteren Felsenbeinfläche und des Kleinhirns. Beitr Klin Chir 37:728–764.

    Google Scholar 

  • Krmpotic J, Draf W, Helms J (1985) Chirurgische Anatomie des Kopf-Hals-Bereiches. Springer, Berlin Heidelberg New York.

    Google Scholar 

  • Lange G (1977) Die intratympanale Behandlung des Morbus Meniere mit ototoxischen Antibiotika. Laryngol Rhinol Otol 56:409–414.

    CAS  Google Scholar 

  • Lasjaunias PL (1983) Craniofacial and upper cervical arteries. Williams & Wilkins, Baltimore/London.

    Google Scholar 

  • MacCarty CS (1975) Acoustic neuroma and the suboccipital approach (1967-1972). Mayo Clin Proc 50:15–16.

    PubMed  CAS  Google Scholar 

  • Mackay IS, King IJ (1977) Pre-and postoperative brainstem responses in a case of acoustic neuroma, sparing the VIII nerve. Clinical Otolaryngology 2:233–238.

    Article  PubMed  CAS  Google Scholar 

  • Malis LI (1975) Microsurgical treatment of acoustic neurinomas. In: Handa H (ed) Microsurgery. Igaku Sho, Tokyo.

    Google Scholar 

  • Malis LI (1977) Nerve grafting by microscope in the cranium. In: Rubin LR (ed) Reanimation of the paralyzed face. Mosby, St. Louis, p 211–216.

    Google Scholar 

  • Mazzoni A, Hansen CC (1970) Surgical anatomy of the arteries of the internal auditory canal. Arch Otolaryng 91, 128.

    Article  PubMed  CAS  Google Scholar 

  • Morrison AW, King TT (1984) Space-occupying lesions of the internal auditory meatus and cerebellopontine angle. Adv Otorhinolaryngol 121–142.

    Google Scholar 

  • Olivecrona H (1940) Acoustic tumors. J Neurosurg Psychiat 3:141–146.

    Article  CAS  Google Scholar 

  • Olivecrona H (1967) Acoustic tumors. J Neurosurg 26:6–13.

    Article  PubMed  CAS  Google Scholar 

  • Panse R (1904) Ein Gliom des Akustikus. Arch Ohrenheilk 61:251.

    Article  Google Scholar 

  • Penkert G, Samii M, Haid T, Rettinger G (1985) Angiomatöse Fehlbildung des inneren Gehörgangs mit den Leitsymptomen Schwindel und Ohrensausen. HNO 33:17–22.

    PubMed  CAS  Google Scholar 

  • Penzholz H (1983) Die operative Behandlung der Trigeminusneuralgie. Neurol 10:29–34.

    Google Scholar 

  • Perry RH (1904) A case of tinnitus and vertigo treated by division of the auditory nerve. J Laryngol Otol 19:402–403.

    Google Scholar 

  • Portmann G (1927a) The saccus endolymphaticus and an operation for draining the same for the relief of vertigo. J Laryngol Otol 42:809.

    Article  Google Scholar 

  • Portmann G (1927b) Vertigo: Surgical treatment by opening the saccus endolymphaticus. Arch Otolaryngol l6:309.

    Google Scholar 

  • Portmann G (1932) Traite de techniques operatoire otorhinolaryngologique. Masson Paris.

    Google Scholar 

  • Portmann M (1975) Tumors of the Internal Auditory Meatus and Surrounding Structures. In: Portmann M et al. (eds) The Internal Auditory Meatus. Churchill Livingstone, Edinburgh, p 219.

    Google Scholar 

  • Pulec JL (1966a) Symposium on acoustic neuroma —Diagnosis and management of acoustic neuroma. Laryngoscope 76:1097–1103.

    PubMed  CAS  Google Scholar 

  • Pulec JL (1966b) Comments on translabyrinthine approach to acoustic neuromas. Arch Otolaryngol 83:592–594.

    Article  PubMed  CAS  Google Scholar 

  • Quix F (1911) Ein Akustiktumor. Arch Ohrenheilk 84:252.

    Article  Google Scholar 

  • Rand RW (1969) Microneurosurgery for acoustic tumors. In: Rand RW (ed) Microneurosurgery. St. Louis, Mosby, p 126–155.

    Google Scholar 

  • Rand RW (1981) The Gardner neurovascular decompression operation for trigeminal neuralgia. Acta Neurochir 58:161–168.

    Article  CAS  Google Scholar 

  • Rand RW, Jannetta PJ (1968) Microneurosurgery: application of the binocular surgical microscope in brain tumors, intracranial aneurysm, spinal cord disease and nerve reconstruction. Proc Congr Neurol Surg. In: Clinical Neurosurgery Chapter XIV. Williams and Wilkins, Baltimore, pp 319–342.

    Google Scholar 

  • Rand RW, Kurze T (1965) Microneurosurgical resection of acoustic tumors by a transmeatal posterior fossa approach. Bull Los Angeles Neurol Soc 30:17–20.

    PubMed  CAS  Google Scholar 

  • Rand RW, Kurze T (1968) Preservation of vestibular, cochlear and facial nerves during microsurgical removal of acoustic tumors. Report of two cases. J Neurosurg 28:158–161.

    Article  PubMed  CAS  Google Scholar 

  • Rhoton AL (1974) Microsurgery of the internal acoustic meatus. Surg Neurol 2:311–318.

    PubMed  Google Scholar 

  • Rhoton AL (1976) Microsurgical removal of acoustic neuromas. Surg Neurol 6:211–219.

    PubMed  Google Scholar 

  • Samii M (1979) Neurochirurgische Gesichtspunkte der Behandlung der Akustikusneurinome mit besonderer Berücksichtigung des N. ifacialis. 2 Laryngol Rhinol Otol 58:97–106.

    CAS  Google Scholar 

  • Samii M (1983) Pathogenese und operative Behandlung des Spasmus facialis. Akt Neurol 10:11–17.

    Article  Google Scholar 

  • Samii M, Ohlemutz A (1981) Early experience in vascular decompression for vestibulo-cochlear malfunction. In: Samii M, Jannetta PJ (eds) The cranial nerves. Springer, Berlin Heidelberg New York, pp 556–558.

    Google Scholar 

  • Samii M, Ohlemutz A (1981) Preservation of eighth cranial nerve in cerebello-pontine angle tumors. In: Samii M, Jannetta PJ (eds) The cranial nerves. Springer, Berlin Heidelberg New York, p 586–587.

    Google Scholar 

  • Samii M, Penkert G (1984) 100 mikrochirurgische Tumorentfernungen im Kleinhirnbrückenwinkel unter besonderer Berücksichtigung der Hörfunktionserhaltung. Zbl Neurochir 45:7.

    Google Scholar 

  • Samii M, Turel KE, Penkert G (1985) Management of Seventh and Eighth Nerve. Involvement by Cerebellopontine Angle Tumors. Clin Neurosurg 32:242–272.

    PubMed  CAS  Google Scholar 

  • Scaramella L (1970) Preliminary reports on facial nerve anastomosis. Thirn Int. Symposium on Facial Nerve Surgery. Osaka, Sept. 27-30.

    Google Scholar 

  • Scaramella L (1971) L’anastomosi tra i due nervi faciali. Arch Ital Otol 28:207–215.

    Google Scholar 

  • Segal R, Gendell HM, Canfield D, Dujovny M, Jannetta PJ (1979) Cardiovascular response to pulsatile pressure applied to ventrolateral medulla. Surg Forum 30:433–435.

    PubMed  CAS  Google Scholar 

  • Smith JW (1971) A new technique of facial animation. Transactions Fifth International Congress Plastic and Reconstructive Surgery. Butterworth, Melbourne, p 83–84.

    Google Scholar 

  • Smith MFW, Miller RN, Cox DJ (1973) Suboccipital microsurgical Removal of Acoustic Neurinomas of All Sizes. Trans Am Otol Soc p 119.

    Google Scholar 

  • Stennert E (1979) Combined approach in extratemporal facial nerve reconstruction. Clin Plast Surg 6:481–486.

    Google Scholar 

  • Sterkers JM (1971) Chirurgie du conduit auditif interne, neurotomies et tumeurs (55 cas). Société Française d’Otorhinolaryngologie, 68e Congres Paris. Arnette, Paris.

    Google Scholar 

  • Sterkers JM (1981) Retro-sigmoid approach for preservation of hearing in early acoustic neuroma surgery. In: Samii M, Jannetta PJ (eds) The cranial nerves. Springer, Berlin, pp 579–585.

    Google Scholar 

  • Sterkers JM, Sterkes O, Mandelonde C, Corlien P (1984) Preservation of Hearing by the Retrosigmoid Approach in Acoustic Neuroma Surgery. Adv Otorhin-daryngologie 34:187–192.

    CAS  Google Scholar 

  • Sunderland S (1945) The arterial relations of the internal auditory meatus. Brain 68:23–27.

    Article  Google Scholar 

  • Wigand ME (1976) Schwindel, ein Leitsymptom der Felsenbeinneurinome. Neutrol Psychiat 2:307–313.

    Google Scholar 

  • Wigand ME (1979) Der transtemporale Zugang zur Operation des kleinen Octavusneurinomes. Course on surgery of the skull base, Hannover.

    Google Scholar 

  • Wigand ME (1979) Die transtemporale, extradurale Chirurgie des inneren Gehörganges. Course lecture, Surgery of the skull base, Hannover.

    Google Scholar 

  • Wigand ME, Haid T, Berg M, Rettinger G (1981) Early diagnosis and transtemporal removal of small nerve VII and VIII tumors. In: Samii M, Jannetta PJ (eds) The cranial nerves. Springer, Berlin Heidelberg New York, p 549–574.

    Google Scholar 

  • Wigand ME, Hait T, Berg M, Rettinger G (1982a) Otochirurgische Neurolyse des VIII. Hirnnerven bei progressiven, cochleovestibulären Störungen. Arch Otorhinolaryngol 235:531–534.

    Article  Google Scholar 

  • Wigand ME, Haid T, Berg M, Rettinger G (1982b) The enlarged transtemporal approach to the cerebellopontine angle. Technique and indications. Acta otorhinolaryngol Ital 2:571–582.

    Google Scholar 

  • Yasargil MG, Fox JL (1974) The microsurgical approach to acoustic neurinomas. Surg Neurol 2:393–398.

    PubMed  CAS  Google Scholar 

  • Zange G (1915) Translabyrinthäre Operationen von Akustikus-und Kleinhirnbrückenwinkeltumoren. Berl Klin Wochenschr 52:1334.

    Google Scholar 

  • Yasargil MG (1978) Mikrochirurgie der Kleinhirnbrük-kenwinkel-Tumoren. In: Plester D, Wende S, Nakayama N (eds) Kleinhirnbrückenwinkeltumoren. Springer, Berlin Heidelberg New York, p 215–257.

    Chapter  Google Scholar 

  • Zülch KJ (1956) Pathologische Anatomie der raumbeengenden intrakraniellen Prozesse. Handbuch der Neurochirurgie, vol 3, Springer, Berlin Göttingen Heidelberg.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Medizinische Hochschule Hannover, Krankenhaus Nordstadt der, Landeshauptstadt Hannover, Haltenhoffstraße 41, D-3000, Hannover 1, Germany

    Professor Dr. med. Prof. h.c. Madjid Samii (Direktor der Neurochirurgischen Klinik)

  2. Städtische Kliniken Fulda, Pacelliallee 4, D-6400, Fulda, Germany

    Professor Dr. med. Wolfgang Draf (Chefarzt der Klinik für HNO-Krankheiten und Plastische Gesichtschirurgie)

  3. Vorstand des Anatomischen Instituts der Universität, Koellikerstraße 6, D-8700, Würzburg, Germany

    Professor Dr. med. Johannes Lang

Authors
  1. Professor Dr. med. Prof. h.c. Madjid Samii
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Professor Dr. med. Wolfgang Draf
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Professor Dr. med. Johannes Lang
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Samii, M., Draf, W., Lang, J. (1989). Surgery of the Internal Auditory Canal and Cerebellopontine Angle. In: Surgery of the Skull Base. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-73061-0_34

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-73061-0_34

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-73063-4

  • Online ISBN: 978-3-642-73061-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation