Translabrynthine approach to Lt. Acoustic Neuroma

                              

Dr. C. Rayappa,    visit www.headneckskullbase.com

ENT and skull base surgeon, Apollo Hospitals, Chennai, India. 

 

   

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Clip1:

Left mastoidectomy is done; semicircular canals are exposed.

'Bill's island' of bone over the sigmoid sinus is seen inferiorly.

 

 

 

Clip2:

Labyinthectomy is in process; Internal auditory meatus is deroofed after identifying and protecting the labyrinthine segment of the facial nerve.

 

 

 

Clip3:

the tumor is dissected off the facial nerve

 
   

Clip4:

Further exposure of the tumor which is excised in piecemeal. Tumor bed is seen after tumor excision.

 

 

 

 

 

 

 

 

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