Transcanal Microscopic Transpromontorial Approach for Vestibular Schwannoma.

This video demonstrates the transcanal transpromontorial approach for resection of vestibular schwannoma.  Present study is based on a video of a single patient undergoing the above approach at a tertiary care skull base surgery program.  This video demonstrates a transcanal microscopic transpromontorial approach for resection of an enlarging intracanalicular vestibular schwannoma in a young patient with nonserviceable hearing. The video highlights the pertinent surgical anatomy and outlines, in a step-by-step fashion, the approach to the internal auditory canal via this minimally invasive approach. The surgical indications and reconstructive techniques are also discussed ( Fig. 1 ).  A transcanal microscopic transpromontorial approach for vestibular schwannoma is feasible and offers a minimally invasive option for patients electing for microsurgical resection. The link to the video can be found at: https://youtu.be/-oKkRooytws .