{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T23:43:27Z","timestamp":1791330207040,"version":"4.3.1"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,5,17]],"date-time":"2016-05-17T00:00:00Z","timestamp":1463443200000},"content-version":"vor","delay-in-days":4095,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2005,3]]},"abstract":"<jats:sec><jats:title>OBJECTIVES<\/jats:title><jats:p><jats:bold>To compare the 2 surgical techniques most commonly used during vestibular schwannoma (VS) surgery, i.e., the middle fossa (MF) and the retrosigmoid\u2010transmeatal (RS\u2010TM) routes, when hearing preservation is attempted.<\/jats:bold><\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN<\/jats:title><jats:p><jats:bold>A longitudinal study of a series of consecutive patients operated on with the 2 techniques by the same surgeon was conducted. Selection criteria included tumor confined to the internal auditory canal (IAC) with a length ranging from 4 to 12\u00a0mm and hearing class A or B. Patients were alternately assigned to 1 of the 2\u00a0groups regardless of auditory class and distance of the tumor from the IAC fundus. Thirty\u2010five subjects were operated on with the RS\u2010TM technique and 35 via the MF route.<\/jats:bold><\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p><jats:bold>No significant differences in auditory and facial nerve function results between the 2 techniques were observed. The RS\u2010TM approach, however, showed better facial nerve results at discharge. VS size, IAC enlargement, and, particularly, the distance from the IAC fundus were found to influence the postoperative results more than the type of approach itself.<\/jats:bold><\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p><jats:bold>The MF approach has been described as being the better technique for VS surgery in terms of auditory results. However, this claim lacks statistical substantiation because no prospective studies are to be found in the literature. The present longitudinal investigation shows that the MF approach does not afford any particular advantages over the RS\u2010TM route in terms of auditory results in intracanalicular VS, with the exception of tumors reaching the IAC fundus.<\/jats:bold><\/jats:p><\/jats:sec>","DOI":"10.1016\/j.otohns.2004.09.027","type":"journal-article","created":{"date-parts":[[2005,3,4]],"date-time":"2005-03-04T10:04:06Z","timestamp":1109930646000},"page":"459-466","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":54,"title":["Is the middle fossa approach the treatment of choice for intracanalicular vestibular schwannoma?"],"prefix":"10.1002","volume":"132","author":[{"given":"Vittorio","family":"Colletti","sequence":"first","affiliation":[{"name":"ENT Department University of Verona Verona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Fiorino","sequence":"additional","affiliation":[{"name":"ENT Department University of Verona Verona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,5,17]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"614","article-title":"Technical modifications to the middle fossa craniotomy approach in removal of acoustic neuromas","volume":"15","author":"Brackmann DE","year":"1994","journal-title":"Am J Otol"},{"key":"e_1_2_6_3_1","first-page":"729","volume-title":"Neurotology.","author":"Jackler R","year":"1994"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199108000-00004"},{"key":"e_1_2_6_5_1","first-page":"11","article-title":"Management of 1000 vestibular schwannomas (acoustic neuromas): surgical management and results with an emphasis on complications and how to avoid them","volume":"40","author":"Samii M","year":"1977","journal-title":"Neurosurgery"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988409200203"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348948008900405"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1998.88.5.0840"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-3019(99)00199-8"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0709(00)80051-4"},{"key":"e_1_2_6_11_1","first-page":"596","article-title":"Middle fossa approach for hearing preservation with acoustic neuromas","volume":"18","author":"Slattery Wh III","year":"1997","journal-title":"Am J Otol"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(95)70100-1"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4471-3789-4"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1058981"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59989770039-1"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988509300202"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199502000-00014"},{"key":"e_1_2_6_18_1","first-page":"669","article-title":"Results and complications from acoustic neuroma excision via middle cranial fossa approach","volume":"17","author":"Weber PC","year":"1996","journal-title":"Am J Otol"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198904000-00009"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200208000-00031"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016489409126054"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1058639"},{"key":"e_1_2_6_23_1","first-page":"311","article-title":"Microsurgery of the internal acoustic meatus","volume":"2","author":"Rhoton AL","year":"1974","journal-title":"Surg Neurol"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198011000-00003"},{"key":"e_1_2_6_25_1","first-page":"241","volume-title":"Acoustic neuroma.","author":"Laine T","year":"1992"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989411100116"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0709(00)80048-4"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1992.77.5.0677"},{"key":"e_1_2_6_29_1","first-page":"695","article-title":"Hearing preservation in conservation surgery for vestibular schwannoma","volume":"21","author":"Holsinger FC","year":"2000","journal-title":"Am J Otol"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.3109\/00206099809072959"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199601000-00012"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S019459980401811X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2004.09.027","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S019459980401811X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.otohns.2004.09.027","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2004.09.027","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T14:34:26Z","timestamp":1760970866000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.otohns.2004.09.027"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,3]]},"references-count":30,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2005,3]]}},"alternative-id":["10.1016\/j.otohns.2004.09.027"],"URL":"https:\/\/doi.org\/10.1016\/j.otohns.2004.09.027","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,3]]},"assertion":[{"value":"2016-05-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}