Clinical outcomes of retrosigmoid approach for vestibular schwannoma


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Bong Jin Park, Yong Jin Lim, Cheol Eon Park, Jae Yong Byun, Moon Suh Park, Chang Il Cha, Seung Geun Yeo

KyungHee University, Seoul, Korea

Abstract

Background
Multiple approaches for the cerebello-pontine angles have been developed to permit the surgeon to tailor the procedure to a particular patient's pathology and physiological status. Each has its own limitations, morbidities, and indications. Among them, the retrosigmoid approach provides simple and direct access to the cerebello-pontine zone.

Method

A retrospective study was performed on 35 consecutive patients with a vestibular schwannoma who underwent retrosigmoid surgery.

Results
The patients consisted of 12 men and 23 women, of meanstandard deviation (SD) age 52.510.4 years (range, 35-75 years). The lesion sides were 19 cases in right and 16 cases in left. The symptoms for vestibular schwannoma patients included hearing disturbance (31 cases, 89%), tinnitus (14 cases, 40%), headache (12 cases, 34%), vertigo (11 cases, 31%), and facial palsy (2 cases, 6%).