Comparison of outcomes following complex posterior fossa surgery performed in the sitting versus lateral position

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
Sergey SpektorFelix Umansky

Abstract

The sitting position during surgery is thought to provide important advantages, yet it remains controversial. We compared surgical and neurological outcomes for patients operated on in the sitting versus lateral position. Technically difficult procedures performed from the years 2001-2008 for complex lesions in the posterior fossa (vestibular schwannomas, other cerebellopontine angle tumors, foramen magnum meningiomas, brainstem cavernomas, pineal region tumors) were included. Outcomes in the two surgical positions were compared for all 243 patients (93 sitting, 38.3%; 150 lateral, 61.7%) and for 130/243 patients with vestibular schwannomas (50 sitting, 38.5%; 80 lateral, 61.5%). Sitting and lateral patient subgroups were clinically comparable. There were no surgical mortalities. The extent of removal and surgical and neurological outcomes were comparable. We found no advantage in surgical or neurological outcomes for use of the sitting or lateral surgical positions in technically difficult posterior fossa procedures. In vestibular schwannoma surgeries facial nerve preservation (House-Brackmann score 1-2) was related to extent of resection but not to surgical position. The choice of operative position should be based on lesion ...Continue Reading

References

Nov 1, 1978·Neurosurgery·M S AlbinJ C Maroon
Nov 1, 1985·Neurosurgery·J MatjaskoP Steinberg
Aug 1, 1994·British Journal of Anaesthesia·R J Elton, R S Howell
May 18, 1999·British Journal of Anaesthesia·J M PorterA J Cunningham
Feb 17, 2000·The New England Journal of Medicine·C M Muth, E S Shank
Jul 15, 2000·Journal of Neurology, Neurosurgery, and Psychiatry·J C TonnK Roosen
Aug 16, 2001·Neurosurgery·L I Malis
Mar 8, 2002·British Journal of Anaesthesia·I E Leonard, A J Cunningham
May 7, 2004·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Mario SannaManoj Agarwal
Sep 1, 2004·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·T Gale, K Leslie
Sep 10, 2004·Neurosurgical Focus·Alan P Lozier, Jeffrey N Bruce
Jan 2, 2007·Anesthesiology·Marek A MirskiThomas J K Toung
Feb 14, 2007·Neurosurgery·Alireza GharabaghiMadjid Samii
Apr 14, 2007·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·G P RathH H Dash
Apr 7, 2009·British Journal of Anaesthesia·A-R FathiB Meier
Apr 16, 2011·World Neurosurgery·Ann-Christine LindroosTomi Niemi

❮ Previous
Next ❯

Citations

Sep 11, 2019·Neuro-oncology·Roland GoldbrunnerJoerg-Christian Tonn
Apr 2, 2020·Frontiers in Surgery·Ana Mavarez-MartinezSergio D Bergese
Apr 3, 2019·Acta neurochirurgica·L GiammatteiR T Daniel
Feb 11, 2021·Anesthesiology Clinics·Kelsey Serfozo, Vijay Tarnal
Oct 2, 2021·Journal of Neurosurgery. Pediatrics·Fritz TepingJoachim Oertel

❮ Previous
Next ❯

Related Concepts

Related Feeds

Astrocytes

Astrocytes are glial cells that support the blood-brain barrier, facilitate neurotransmission, provide nutrients to neurons, and help repair damaged nervous tissues. Here is the latest research.

Related Papers

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
H Alexander ArtsB Gregory Thompson
Archives of Otolaryngology--head & Neck Surgery
Pete S BatraRichard J Wiet
Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery
Jue-bo YuJing-rong Lü
© 2022 Meta ULC. All rights reserved