{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,20]],"date-time":"2023-10-20T09:19:00Z","timestamp":1697793540378},"reference-count":25,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1982,7]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 With large acoustic neuromas, the primary goal of surgery is safe total removal of the tumors, and the secondary goal is preservation of nearby neural structures, including the facial nerve. In a series of 15 consecutive patients with large cerebellopontine angle tumors, all of which were more than 2.5 cm in diameter, tumor excision was performed by a one-stage combined middle fossa-translabyrinthine approach. There were 13 acoustic neuromas, 10 of which were more than 4 cm in diameter, one petrous apex meningioma 4 cm in diameter, and one facial neuroma 3 cm in diameter. The tumors were totally removed in all 15 patients. The facial nerve was preserved in 12 of 13 evaluable patients. In the 14th patient the nerve had been transected in a previous suboccipital procedure with incomplete removal, and in the 15th patient the nerve was sutured following excision of a facial neuroma. Thus, the nerve was lost at surgery in only one patient.<\/jats:p>\n<jats:p content-type=\"fine-print\">This combined approach provided very clear visualization of the cerebellopontine angle, including the brain stem and the lower cranial nerves. It enabled identification of both the origin of the facial nerve at the brain stem and the lateral segment of the nerve in the internal auditory canal. Anterior extensions of tumor growing through the tentorial hiatus were easily removed. The results in these 15 patients show that this approach is excellent for total removal of large acoustic neuromas with preservation of the facial nerve. It is especially suitable for large tumors with anterior extensions.<\/jats:p>","DOI":"10.3171\/jns.1982.57.1.0001","type":"journal-article","created":{"date-parts":[[2009,5,8]],"date-time":"2009-05-08T13:57:50Z","timestamp":1241791070000},"page":"1-7","source":"Crossref","is-referenced-by-count":24,"title":["Facial nerve preservation in patients with large acoustic neuromas treated by a combined middle fossa transtentorial translabyrinthine approach"],"prefix":"10.3171","volume":"57","author":[{"given":"Charles H.","family":"Tator","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian M.","family":"Nedzelski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"J Neurol Neurosurg Psychiatry","doi-asserted-by":"publisher","first-page":"663","DOI":"10.1136\/jnnp.39.7.663","article-title":"Incidence of postoperative epilepsy after a transtentorial approach to acoustic nerve tumours.","volume":"39","author":"Cabral","year":"1976"},{"key":"b2","series-title":"Laryngoscope","doi-asserted-by":"publisher","first-page":"1191","DOI":"10.1288\/00005537-197108000-00002","article-title":"Microsurgical treatment of acoustic neurinomas (results and complications).","volume":"81","author":"Clemis","year":"1971"},{"key":"b3","series-title":"Laryngoscope","first-page":"31","article-title":"Brain stem electric response audiometry in the differential diagnosis of acoustic tumors.","volume":"89","author":"Clemis","year":"1979"},{"key":"b4","series-title":"Tumors of the Nervus Acusticus and the Syndrome of the Cerebellopontine Angle.","author":"Cushing","year":"1917"},{"key":"b5","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3171\/jns.1978.48.1.0001","article-title":"A critical comparison of neurosurgical and otolaryngological approaches to acoustic neuromas.","volume":"48","author":"DiTullio","year":"1978"},{"key":"b6","series-title":"Proc R Soc Med","first-page":"897","article-title":"Chronic arachnoiditis and hydrocephalus in the surgical management of acoustic tumours\u2014a plea for early operation.","volume":"51","author":"Dott","year":"1958"},{"key":"b7","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"459","DOI":"10.3171\/jns.1967.26.5.0459","article-title":"Surgical treatment of acoustic neuroma with preservation or reconstitution of the facial nerve.","volume":"26","author":"Drake","year":"1967"},{"key":"b8","series-title":"Surg Clin North Am","first-page":"1427","article-title":"The management of tumors of the posterior fossa by the transtentorial approach.","volume":"10","author":"Fay","year":"1930"},{"key":"b9","series-title":"Ann Otol Rhinol Laryngol","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1177\/000348947308200402","article-title":"The translabyrinthine removal of acoustic and other cerebellopontine angle tumors.","volume":"82","author":"Glasscock","year":"1973"},{"key":"b10","series-title":"Laryngoscope","first-page":"1563","article-title":"A one-stage combined approach for the management of large cerebellopontine angle tumors.","volume":"88","author":"Glasscock","year":"1978"},{"key":"b11","series-title":"Arch Otolaryngol","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1001\/archotol.1966.00760030269004","article-title":"A combined approach to the cerebellopontine angle. A suboccipital-petrosal approach.","volume":"84","author":"Hitselberger","year":"1966"},{"key":"b12","series-title":"Arch Otolaryngol","first-page":"586","article-title":"Monograph II. Acoustic neuroma.","volume":"88","year":"1968"},{"key":"b13","series-title":"Laryngoscope","first-page":"1363","article-title":"Surgical exposure of the internal auditory canal and its contents through the middle, cranial fossa.","volume":"71","author":"House","year":"1961"},{"key":"b14","series-title":"Proc R Soc Med","first-page":"780","article-title":"Combined translabyrinthine-transtentorial approach to acoustic nerve tumours.","volume":"63","author":"King","year":"1970"},{"key":"b15","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"210","DOI":"10.3171\/jns.1980.52.2.0210","article-title":"Translabyrinthine and transtentorial removal of acoustic nerve tumors. Results in 150 cases.","volume":"52","author":"King","year":"1980"},{"key":"b16","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"1033","DOI":"10.3171\/jns.1962.19.12.1033","article-title":"Extradural intracranial (middle fossa) approach to the internal auditory canal.","volume":"19","author":"Kurze","year":"1962"},{"key":"b17","series-title":"Laryngoscope","first-page":"1893","article-title":"Symptoms, findings and methods of diagnosis in patients with acoustic neuroma.","volume":"88","author":"Mathew","year":"1978"},{"key":"b18","series-title":"Clin Neurosurg","first-page":"21","article-title":"Acoustic neuroma.","volume":"2","author":"McKenzie","year":"1955"},{"key":"b19","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"382","DOI":"10.3171\/jns.1973.38.3.0382","article-title":"Experiences with a translabyrinthine-transtentorial approach to the cerebellopontine angle. Technical note.","volume":"38","author":"Morrison","year":"1973"},{"key":"b20","series-title":"Surg Gynecol Obstet","first-page":"241","article-title":"Brain surgery. With special reference to exposure of the brain stem and posterior fossa; the principle of intracranial decompression, and the relief of impactions in the posterior fossa.","volume":"46","author":"Naffziger","year":"1928"},{"key":"b21","series-title":"J Otolaryngol","first-page":"105","article-title":"Surgical management of cerebellopontine angle tumors.","volume":"9","author":"Nedzelski","year":"1980"},{"key":"b22","series-title":"Laryngoscope","doi-asserted-by":"publisher","first-page":"1448","DOI":"10.1288\/00005537-197109000-00008","article-title":"The subtemporal transtentorial approach to the cerebellopontine angle.","volume":"81","author":"Rosomoff","year":"1971"},{"key":"b23","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"37","DOI":"10.3171\/jns.1979.51.1.0037","article-title":"The two-stage excision of huge acoustic neurinomas.","volume":"51","author":"Sheptak","year":"1979"},{"key":"b24","series-title":"Am J Med Sci","doi-asserted-by":"publisher","first-page":"509","DOI":"10.1097\/00000441-189605000-00002","article-title":"A study of three cases of tumor of the brain in which operation was performed\u2014one recovery, two deaths.","volume":"111","author":"Stieglitz","year":"1896"},{"key":"b25","series-title":"Surg Neurol","first-page":"393","article-title":"The microsurgical approach to acoustic neurinomas.","volume":"2","author":"Ya\u015fargil","year":"1974"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/57\/1\/article-p1.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/57\/1\/article-p1.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/57\/1\/article-p1.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,13]],"date-time":"2022-11-13T04:58:43Z","timestamp":1668315523000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/57\/1\/article-p1.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1982,7]]},"references-count":25,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3171\/jns.1982.57.1.0001","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[1982,7]]}}}