Minimally Invasive Middle Fossa Keyhole Craniectomy for Repair of Superior Semicircular Canal Dehiscence

Operative Neurosurgery
Vanessa TrieuIsaac Yang

Abstract

Superior semicircular canal dehiscence (SSCD) presents with varying degrees of auditory and vestibular dysfunction. The condition is confirmed on high-resolution computed tomography (CT) imaging, and symptoms are often improved by surgical repair. Although a classic middle fossa craniotomy has been used with good results, recent advances in technique have allowed for modification of the traditional approach into a smaller skin incision and a minimally invasive middle fossa keyhole craniectomy roughly 1.7 cm in diameter. To delineate this novel approach and describe the technique for accurate localization of the dehiscence using preoperative measurements and intraoperative image guidance, thereby minimizing the need for a larger skin incision and craniotomy. Patients were independently diagnosed with SSCD by the senior authors. Once relevant imaging was acquired, the novel keyhole technique was performed. Patients' vestibular and auditory symptoms before and after the procedure were assessed. Outcomes from a series of patients treated with this keyhole approach were tabulated and reported. Twelve cases from 11 patients were included in this series. Auditory symptoms had high rates of resolution with pulsatile tinnitus, internal ...Continue Reading

References

Apr 3, 1998·Archives of Otolaryngology--head & Neck Surgery·L B MinorD S Zee
Feb 19, 2000·Archives of Otolaryngology--head & Neck Surgery·J P CareyG T Nager
Aug 10, 2002·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Naoaki YanagiharaHidemitu Sato
Mar 7, 2003·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Lloyd B MinorMichael J Ruckenstein
Mar 4, 2005·The Laryngoscope·Anthony A MikulecMichael J McKenna
Jun 23, 2005·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Nicolas SchmuzigerRudolf Probst
Oct 14, 2005·The Laryngoscope·Lloyd B Minor
Apr 28, 2006·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·David R Friedland, Michelle A Michel
Aug 29, 2006·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Karen F WattersDaniel J Lee
Sep 29, 2006·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Charles J LimbLloyd B Minor
Nov 23, 2006·Brazilian Journal of Otorhinolaryngology·Suzane da Cunha Ferreira, Marco Antonio de Melo Tavares de Lima
Jan 9, 2008·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Sumit K Agrawal, Lorne S Parnes
May 3, 2008·The Journal of Laryngology and Otology·M V KirtaneD Satwalekar
Jun 4, 2008·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Benjamin T CraneJohn P Carey
Oct 28, 2008·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Petros V VlastarakosThomas P Nikolopoulos
Apr 3, 2009·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Yuri AgrawalJohn P Carey
Jun 26, 2009·The Laryngoscope·Geoffrey R DeschenesCliff A Megerian
Jan 6, 2010·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Benjamin T CraneJohn P Carey
Jan 16, 2010·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·D J PhillipsR J Briggs
Dec 3, 2010·Current Opinion in Neurology·Wade W ChienLloyd B Minor
Apr 9, 2011·Otolaryngologic Clinics of North America·Stefan C A Hegemann, John P Carey
Apr 27, 2011·The Laryngoscope·Hosam A AmoodiManohar Bance
Jun 11, 2011·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Michael TeixidoOmar Sabra
Sep 16, 2011·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Andrew A McCallDaniel J Lee
Feb 9, 2012·The Annals of Otology, Rhinology, and Laryngology·Michael TeixidoSaumil N Merchant
May 10, 2012·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Miguel Angel CrovettoKalliopi Vrotsou
Jun 6, 2012·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Marlien E F NiestenDaniel J Lee
Jul 27, 2012·BMC Ear, Nose, and Throat Disorders·Alexander YuEric T Wong
Sep 1, 2012·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Bryan K WardJohn P Carey
Nov 28, 2012·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·M Geraldine ZunigaJohn P Carey
Aug 2, 2013·Journal of Neurological Surgery. Part B, Skull Base·Yi Chen ZhaoRobert Briggs
Aug 31, 2013·Current Opinion in Otolaryngology & Head and Neck Surgery·Wayne T Shaia, Rodney C Diaz
Dec 3, 2013·Journal of Neurological Surgery. Part B, Skull Base·Andrew YewIsaac Yang
Jan 10, 2014·The Laryngoscope·Margaret S CarterDaniel J Lee
Mar 19, 2014·Neurology·Gregory J BasuraKatherine D Heidenreich
Jun 26, 2014·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·John C Goddard, Eric P Wilkinson
Feb 7, 2015·The Journal of Laryngology and Otology·G Chilvers, I McKay-Davies
Nov 2, 2016·Journal of Neurosurgery·Lawrance K ChungIsaac Yang
Mar 10, 2016·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Bryan J LimingJames V Crawford

❮ Previous
Next ❯

Related Concepts

Related Feeds

Auditory Perception

Auditory perception is the ability to receive and interpret information attained by the ears. Here is the latest research on factors and underlying mechanisms that influence auditory perception.

Related Papers

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
Sumit K Agrawal, Lorne S Parnes
Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
Anthony A MikulecS N Merchant
Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
Michael TeixidoOmar Sabra
Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
Karen F WattersDaniel J Lee
© 2022 Meta ULC. All rights reserved