The Middle Cranial Fossa Approach


Kaya A., Kartum T. A., Tanriover N.

SURGICAL MANAGEMENT OF FACIAL NERVE PARALYSIS, Prof. Dr. Galip Zihni Sanus,Assoc. Prof. Dr. Aysegul Batioglu Karaaltın, Editör, Turkiye Klinikleri, Ankara, ss.159-165, 2022

  • Yayın Türü: Kitapta Bölüm / Mesleki Kitap
  • Basım Tarihi: 2022
  • Yayınevi: Turkiye Klinikleri
  • Basıldığı Şehir: Ankara
  • Sayfa Sayıları: ss.159-165
  • Editörler: Prof. Dr. Galip Zihni Sanus,Assoc. Prof. Dr. Aysegul Batioglu Karaaltın, Editör
  • İstanbul Üniversitesi-Cerrahpaşa Adresli: Evet

Özet

Accessing to the facial nerve (FN) and other structures in the cerebellopontine angle and the prepontine cistern carries a challenge for skullbase surgeons. Retrosigmoid, presigmoid, and subtemporal approaches and their variations have been described to have a surgical exposure of these structures. The middle cranial fossa (MCF) approach, nowadays a less used way of accessing the internal acoustic canal (IAC), is directed through the middle fossa floor via elevating the temporal lobe and its dura with no labyrinthectomy. This approach is unique in that it allows for direct exposure of the cisternal, meatal, labyrinthine, and tympanic segments of the FN, the vestibulocochlear nerve, and the perigeniculate area with total hearing preservation.