The Middle Fossa Transpetrous Approach for Petroclival Meningiomas

William E. Hitselberger; Karl L. Horn; Hal Hankinson; Derald E. Brackmann; William F. House

doi:10.1055/s-2008-1060575

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Skull Base 1993; 3(3): 130-135
DOI: 10.1055/s-2008-1060575

Original Articles

The Middle Fossa Transpetrous Approach for Petroclival Meningiomas

William E. Hitselberger, Karl L. Horn, Hal Hankinson, Derald E. Brackmann, William F. House

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Publication History

Publication Date:
03 March 2008 (online)

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Abstract

Seventeen patients with petroclival meningioma were operated on through a middle fossa transpetrous approach. This approach exposes the anterior cerebellopontine angle through a middle fossa craniotomy with removal of the petrous apex medial to the cochlea and petrous carotid artery. This approach may be enlarged by transection of the superior petrosal sinus and tentorium. The surgical technique and application of the middle fossa transpetrous approach for petroclival meningiomas is presented.

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