{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:52:09Z","timestamp":1786125129171,"version":"build-2736575974"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2018,9,23]],"date-time":"2018-09-23T00:00:00Z","timestamp":1537660800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Operative Surg.","ONSURG"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    The use of 3-dimensional (3D) videos allows students to visualize surgical procedures from the perspective of the surgeon without missing the essential parts.\n                    <jats:sup>1<\/jats:sup>\n                    This 3D commented video demonstrates the operative technique and surgical nuances of the combined petrosectomy, visualize using virtual reality headsets.\n                  <\/jats:p>\n                  <jats:p>\n                    Historically, traditional intradural cisternal routes using suboccipital and pterional approaches have been proposed to remove petroclival tumors.\n                    <jats:sup>2-5<\/jats:sup>\n                    It allows rapid identification of neurovascular structures and a short exposure time. However, access to the petroclival region is far, not direct, and requires intradural cerebral retraction.\n                    <jats:sup>6<\/jats:sup>\n                  <\/jats:p>\n                  <jats:p>\n                    In order to improve the access for tumoral dissection, lateral transpetrosal approaches have been proposed.\n                    <jats:sup>7-12<\/jats:sup>\n                    The extradural route shortened the distance to the petroclival region, allows to better preserve the veins, to decrease the cerebral retraction, to interrupt early the tumor vascular supply, and a larger extent of resection.\n                    <jats:sup>6<\/jats:sup>\n                    Transpetrosal approaches includes middle fossa approach\n                    <jats:sup>8,10<\/jats:sup>\n                    (removing the petrous apex), posterior petrosal approach\n                    <jats:sup>9,13,14<\/jats:sup>\n                    (removing of presigmoid retrolabyrinthine bone), and translabyrinthine petrosectomy.\n                    <jats:sup>12<\/jats:sup>\n                  <\/jats:p>\n                  <jats:p>\n                    A combined petrosectomy may be used to approach larger tumor extending across the clival midline, upward to the tentorium or downward to the lower cranial nerves.\n                    <jats:sup>6,10,15,16<\/jats:sup>\n                    Alternatively, according to Nanda, a retro-sigmoid approach may need to be performed to avoid critical draining veins injury.\n                    <jats:sup>10,17<\/jats:sup>\n                    Good resection and outcomes are obtained when experienced surgeons use familiar approaches and microsurgical techniques.\n                    <jats:sup>10<\/jats:sup>\n                  <\/jats:p>","DOI":"10.1093\/ons\/opy228","type":"journal-article","created":{"date-parts":[[2018,9,22]],"date-time":"2018-09-22T21:32:02Z","timestamp":1537651922000},"page":"638-639","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Stereoscopic Surgical Video of Combined Petrosectomy With Virtual Reality Headset: 3-Dimensional Operative Video"],"prefix":"10.1227","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6110-2567","authenticated-orcid":false,"given":"Florian","family":"Bernard","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, CHU, Angers, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas","family":"Troude","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, North University Hospital, APHM, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurent","family":"Laccourreye","sequence":"additional","affiliation":[{"name":"Department of ENT, CHU, Angers, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre-Hugues","family":"Roche","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, North University Hospital, APHM, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henri-Dominique","family":"Fournier","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, CHU, Angers, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019,5]]},"reference":[{"issue":"4","key":"bib1-20240909","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1038\/eye.2015.282","article-title":"Making and viewing stereoscopic surgical videos with smartphones and virtual reality headset","volume":"30","author":"Gallagher","year":"2016","journal-title":"Eye"},{"issue":"6 suppl 3","key":"bib2-20240909","doi-asserted-by":"crossref","first-page":"1182","DOI":"10.1227\/01.NEU.0000333784.04435.65","article-title":"Evolution of surgical approaches in the treatment of petroclival meningiomas: a retrospective review","volume":"62","author":"Bambakidis","year":"2008","journal-title":"Neurosurgery"},{"issue":"3","key":"bib3-20240909","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1080\/02688699943673","article-title":"Extended lateral subtemporal approach for petroclival meningiomas: report of experience with 24 cases","volume":"13","author":"Goel","year":"1999","journal-title":"Br J Neurosurg"},{"issue":"1-2","key":"bib4-20240909","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1007\/BF01400723","article-title":"Experience with 36 surgical cases of petroclival meningiomas","volume":"118","author":"Samii","year":"1992","journal-title":"Acta Neurochir"},{"issue":"4","key":"bib5-20240909","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1016\/S0090-3019(98)00100-1","article-title":"Petroclival meningioma. 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