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A Percutaneous Transtubular Middle Fossa Approach for Intracanalicular Tumors

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A Percutaneous Transtubular Middle Fossa Approach for Intracanalicular Tumors

In cases of small intracanalicular tumors (≤ 1.5 cm), the middle fossa approach (MFA) provides the ability for adequate tumor removal with preservation of existing auditory function. Application of a minimally invasive tubular retractor in this approach may help mitigate the risk of postoperative seizures, aphasia, and venous complications by minimizing intraoperative retraction of the temporal lobe. We propose a minimally invasive microscopic and/or endoscopic percutaneous transtubular MFA for the management of intracanalicular tumors.

Publication Name: 
World Neurosurgery

 

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