Gidley Paul W, Passer Joel Z, Page Joshua C, DeMonte Franco
Departments of Head and Neck Surgery and.
Neurosurgery, MD Anderson Cancer Center, Houston, Texas.
Neurosurg Focus Video. 2021 Oct 1;5(2):V12. doi: 10.3171/2021.7.FOCVID21124. eCollection 2021 Oct.
The middle fossa approach for the resection of small acoustic neuromas is a viable, but underutilized treatment modality with the goal of hearing preservation. The authors aim to demonstrate this approach and its nuances through this video presentation. A 38-year-old man presented with an incidentally discovered small, intracanalicular acoustic neuroma that was initially observed, but growth was noted. The patient had good hearing, and therefore a hearing preservation approach was offered. A gross-total resection was achieved, and the patient maintained good hearing postoperatively. This video demonstrates relevant anatomy, surgical indications, technical aspects of resection, including reconstruction, and postoperative outcomes. The video can be found here: https://stream.cadmore.media/r10.3171/2021.7.FOCVID21124.
用于切除小型听神经瘤的中颅窝入路是一种可行但未得到充分利用的治疗方式，其目标是保留听力。作者旨在通过本视频演示展示这种方法及其细微差别。一名38岁男性偶然发现患有小型管内听神经瘤，最初进行观察，但发现肿瘤生长。该患者听力良好，因此采用了保留听力的方法。实现了肿瘤全切除，患者术后听力保持良好。本视频展示了相关解剖结构、手术适应症、切除的技术要点（包括重建）以及术后结果。视频可在此处找到：https://stream.cadmore.media/r10.3171/2021.7.FOCVID21124 。
