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Vestibular neurotomy by retrosigmoid approach: technique, indications, and results.

TitleVestibular neurotomy by retrosigmoid approach: technique, indications, and results.
Publication TypeJournal Article
Year of Publication1991
AuthorsMagnan J, Bremond G, Chays A, Gignac D, Florence A
JournalAm J Otol
Volume12
Issue2
Pagination101-4
Date Published1991 Mar
ISSN0192-9763
KeywordsAged, Cranial Sinuses, Craniotomy, Female, Hearing, Humans, Male, Meniere Disease, Middle Aged, Postoperative Complications, Recurrence, Vestibular Nerve
Abstract

<p>During the past 15 years, 96 retrosigmoid vestibular neurotomies have been used in the surgical management of incapacitating Meniere's disease for the control of vertigo and preservation of hearing. This posterior approach of the pontocerebellar angle gives the best view on the acousticofacial nerve bundle, through a 2 x 2 cm suboccipital craniotomy immediately behind the mastoid and sigmoid sinus. Then the vestibular nerve is easily identified, separated from the cochlear nerve and sectioned, the facial nerve not being at risk, as it lies much deeper. Actually, the majority of authors agree that vestibular neurotomy is the most effective surgical treatment in relieving disabling vertigo (96% of cases) with serviceable hearing, but few surgeons know that the retrosigmoid approach is simpler and more reliable than the middle fossa or retrolabyrinthine approaches, with a low incidence of complications. The purpose of this paper is to emphasize the routine use of the retrosigmoid approach.</p>

Alternate JournalAm J Otol
Citation KeyCK54
PubMed ID2053598