Transcanal endoscopic lateral skull base surgery

Publication date: Available online 1 February 2017
Source:Operative Techniques in Otolaryngology-Head and Neck Surgery
Author(s): Daniele Marchioni, Marco Bonali, Livio Presutti
Presutti and Marchioni's transcanal exclusive endoscopic transpromontorial approach represents a new surgical technique to remove diseases that involve cochlea and fundus of IAC in selected cases, thus avoiding extensive bone drilling, brain, meningeal and neurovascular manipulation. The advantage of this endoscopic technique is that direct access to IAC allows the creation of a minimally-invasive route through the cochlea with a consequent improved safety during intra and postoperative management.Surgeons that start with this surgical procedure must posess some fundamental prerequisites, like confidence with other inner ear techniques and previous experience with endoscopic middle ear surgery and endoscopic cadaveric dissections.Due to the reduced invasiveness of the transpromontorial transcanal approach, there is no need for an intensive care unit stay after the operation and patient hospitalization is shorter.



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