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.
Similar content being viewed by others
References
Glasscock ME, Heys JW (1973) The translabyrinthine removal of acoustic and other cerebellopontine angle tumors. Ann Otol Rhinol Laryngol 82:415–427
House WF (1964) Transtemporal bone microsurgical removal of acoustic neuromas. Arch Otolaryngol 80:597–756
House WF (1968) Acoustic neuroma. Arch Otolaryngol 88:586–591
House WF, Lutje CM (1979) Acoustic tumors, vol 2. University Park Press, Baltimore
Maddox HE (1977) The lateral approach to acoustic tumors. Laryngoscope 87:1572–1578
Montgomery WW (1973) Surgery for acoustic neuroma. Ann Otol Rhinol Laryngol 82:428–441
Morrison AW (1978) Translabyrinthine surgical approach to the internal acoustic meatus. J R Soc Med 71:269–273
Palva T, Troupp H (1979) Recent experience in the surgery of acoustic neurinomas. Acta Otolaryngol [Suppl] (Stockh) 360:48–50
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
Thomsen J, Klinken L, Tos M (1984) Calcified acoustic neurinoma. J Laryngol Otol 98:727–732
Tos M, Thomsen J (1982) The price of preservation of hearing in acoustic neuroma surgery. Ann Otol Rhinol Laryngol 91:240–245
Tos M, Thomsen J (1984) Facial nerve after translabyrinthine removal of 200 acoustic neuromas. Adv Otorhinolaryngol 34:176–186
Tos M, Thomsen J (1984) Epidemiology of acoustic neuromas. J Laryngol Otol 98:685–692
Tos M, Thomsen J (1985) Cerebrospinal fluid leak after translabyrinthine acoustic neuroma. Laryngoscope 95:351–354
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
Tos M, Thomsen J, Harmsen Å (1988) Is preservation of hearing in acoustic neuroma worthwhile? Acta Otolaryngol [Suppl] (Stockh) 452:57–68
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
Author information
Authors and Affiliations
Rights 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
Issue Date:
DOI: https://doi.org/10.1007/BF00463578