Skip to main content
Log in

The translabyrinthine approach for the removal of large acoustic neuromas

  • Published:
Archives of oto-rhino-laryngology Aims and scope Submit manuscript

Summary

The results and the sequelae are reported from a series of consecutive 400 translabyrinthine removals of acoustic neuromas comprising almost all such tumors in Denmark during a 12-year period from 1976 to 1988. There were two intrameatal, 137 mediansized, 112 large and 149 advanced tumors, the latter having a diameter exceeding 40 mm. The mortality rate in the overall series was 2%. The incidence of cerebrospinal fluid leak occurred in 11%, and persisted for more than 2 weeks in 4%. Facial nerve function was completely normal in 67% of the patients, while only 5% required a nerve anastomosis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Glasscock ME, Heys JW (1973) The translabyrinthine removal of acoustic and other cerebellopontine angle tumors. Ann Otol Rhinol Laryngol 82:415–427

    Google Scholar 

  2. House WF (1964) Transtemporal bone microsurgical removal of acoustic neuromas. Arch Otolaryngol 80:597–756

    Google Scholar 

  3. House WF (1968) Acoustic neuroma. Arch Otolaryngol 88:586–591

    Google Scholar 

  4. House WF, Lutje CM (1979) Acoustic tumors, vol 2. University Park Press, Baltimore

    Google Scholar 

  5. Maddox HE (1977) The lateral approach to acoustic tumors. Laryngoscope 87:1572–1578

    Google Scholar 

  6. Montgomery WW (1973) Surgery for acoustic neuroma. Ann Otol Rhinol Laryngol 82:428–441

    Google Scholar 

  7. Morrison AW (1978) Translabyrinthine surgical approach to the internal acoustic meatus. J R Soc Med 71:269–273

    Google Scholar 

  8. Palva T, Troupp H (1979) Recent experience in the surgery of acoustic neurinomas. Acta Otolaryngol [Suppl] (Stockh) 360:48–50

    Google Scholar 

  9. Thomsen J, Tos M, Harmsen A, Riishede J, Thornval G (1977) Surgery of acousticus neuromas. Preliminary experience with a translabyrinthine approach. Acta Neurol Scand 56:277–290

    Google Scholar 

  10. Thomsen J, Klinken L, Tos M (1984) Calcified acoustic neurinoma. J Laryngol Otol 98:727–732

    Google Scholar 

  11. Tos M, Thomsen J (1982) The price of preservation of hearing in acoustic neuroma surgery. Ann Otol Rhinol Laryngol 91:240–245

    Google Scholar 

  12. Tos M, Thomsen J (1984) Facial nerve after translabyrinthine removal of 200 acoustic neuromas. Adv Otorhinolaryngol 34:176–186

    Google Scholar 

  13. Tos M, Thomsen J (1984) Epidemiology of acoustic neuromas. J Laryngol Otol 98:685–692

    Google Scholar 

  14. Tos M, Thomsen J (1985) Cerebrospinal fluid leak after translabyrinthine acoustic neuroma. Laryngoscope 95:351–354

    Google Scholar 

  15. Tos M, Thomsen J (1988) Sequelae after translabyrinthine removal of 400 acoustic neuromas. In: Fisch U (ed) Neurological surgery of the ear and skull base. Kugler, Amsterdam

    Google Scholar 

  16. Tos M, Thomsen J, Harmsen Å (1988) Is preservation of hearing in acoustic neuroma worthwhile? Acta Otolaryngol [Suppl] (Stockh) 452:57–68

    Google Scholar 

  17. Tos M, Thomsen J, Harmsen Å (1988) Results of translabyrinthine removal of 300 acoustic neuromas related to tumor size. Acta Otolaryngol [Suppl] (Stockh) 452:38–51

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tos, M., Thomsen, J. The translabyrinthine approach for the removal of large acoustic neuromas. Arch Otorhinolaryngol 246, 292–296 (1989). https://doi.org/10.1007/BF00463578

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00463578

Key words

Navigation