{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:21:54Z","timestamp":1787757714935,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Vestibular schwannoma surgery is a challenging operative procedure. Intricate anatomy of vital neurovascular structures demands a meticulous planning and execution. The cerebellopontine angle is an unforgiving area of skull bases surgery which can have grave implications on patient outcome even after a successful tumor removal. As more and more tumors are being detected at early stage, functional preservation of seventh and eighth nerve complex is increasingly being demanded. The key to any minimally invasive approach is to minimize the collateral damage while ensuring complete tumor removal. Binocular microscopy is the workhorse for illumination and dissection via retrosigmoid approach. However, as instrumentation has improved, endoscopic dissections are increasingly being performed. The following video presents the step-by-step nuances for an endoscope-assisted microsurgery for small vestibular schwannomas with stress on endoscopic drilling of the meatal wall to deliver out intracanacular tumor while preserving the labrynthine structures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/0028-3886.319208","type":"journal-article","created":{"date-parts":[[2021,12,28]],"date-time":"2021-12-28T02:21:28Z","timestamp":1640658088000},"page":"578-581","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":9,"title":["Endoscopic-Assisted Microsurgery for Vestibular Schwannomas"],"prefix":"10.4103","volume":"69","author":[{"given":"Adesh","family":"Shrivastava","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakesh","family":"Mishra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anirudh","family":"Nair","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suresh","family":"Nair","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-7-20240907","doi-asserted-by":"crossref","first-page":"262","DOI":"10.4103\/0028-3886.283758","article-title":"Vestibular schwannoma: Half a decade odyssey from challenges to functional preservation","volume":"68","author":"Shrivastava","year":"2020","journal-title":"Neurol India"},{"key":"R2-7-20240907","doi-asserted-by":"crossref","first-page":"642","DOI":"10.3171\/2008.3.17473","article-title":"Evolution of techniques for the resection of vestibular schwannomas: From saving life to saving function: Historical vignette","volume":"110","author":"Akard","year":"2009","journal-title":"J Neurosurg"},{"key":"R3-7-20240907","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1097\/00006123-199804000-00116","article-title":"History of the operating microscope: From magnifying glass to microneurosurgery","volume":"42","author":"Kriss","year":"1998","journal-title":"Neurosurgery"},{"key":"R4-7-20240907","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3171\/foc.2005.19.5.4","article-title":"Neuroendoscopy: Past, present, and future","volume":"19","author":"Li","year":"2005","journal-title":"Neurosurg Focus"},{"key":"R5-7-20240907","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1055\/s-0034-1543974","article-title":"Endoscopic resection of vestibular schwannomas","volume":"76","author":"Setty","year":"2015","journal-title":"J Neurol Surg Part B Skull Base"},{"key":"R7-7-20240907","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1017\/S002221510014575X","article-title":"Enhancing hearing preservation in endoscopic-assisted excision of acoustic neuroma via the retrosigmoid approach","volume":"113","author":"Low","year":"1999","journal-title":"J Laryngol Otol"},{"key":"R8-7-20240907","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1016\/j.wneu.2014.02.029","article-title":"Preservation of labyrinthine structures while drilling the posterior wall of the internal auditory canal in surgery of vestibular schwannomas via the retrosigmoid suboccipital approach","volume":"82","author":"Savardekar","year":"2014","journal-title":"World Neurosurg"},{"key":"R9-7-20240907","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1227\/01.NEU.0000343521.88537.16","article-title":"Image-guided, endoscopic-assisted drilling and exposure of the whole length of the internal auditory canal and its fundus with preservation of the integrity of the labyrinth using a retrosigmoid approach: A laboratory investigation","volume":"65","author":"Pillai","year":"2009","journal-title":"Oper Neurosurg"}],"container-title":["Neurology India"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/0028-3886.319208","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:51:32Z","timestamp":1787755892000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/0028-3886.319208"}},"subtitle":["Operative Nuances"],"short-title":[],"issued":{"date-parts":[[2021,5]]},"references-count":8,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/0028-3886.319208","relation":{},"ISSN":["0028-3886"],"issn-type":[{"value":"0028-3886","type":"print"}],"subject":[],"published":{"date-parts":[[2021,5]]}}}