Translabyrinthine approach

                                         to Lt. Acoustic neuroma:

Dr. C. Rayappa,      visit www.headneckskullbase.com
E.N.T & 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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