TY - CHAP
T1 - Functional Surgery of the Cerebellopontine Angle
AU - Wackym, P. Ashley
AU - Kurpad, Shekar N.
AU - King, Wesley A.
AU - Nanda, Anil
N1 - Publisher Copyright: © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.
PY - 2023/1/1
Y1 - 2023/1/1
N2 - Although most surgery of the cerebellopontine angle (CPA) deals with neoplastic diseases, it is important for contemporary skull-base surgeons to remain proficient in the surgical management of diseases that disrupt cranial nerve function. In addition to the use of microsurgical principles, over the past quarter century, we have found that the adjunctive use of endoscopy greatly facilitates optimal outcomes. Endoscopes have the ability to provide high magnification and illumination of the operative field. However, in contrast to the operative microscope, the endoscopic view is not limited to the linear line of sight. Thus, with flexible and angled endoscopes the surgeon can look “around corners,” beyond obstructing tissue and structures. Initial reports of endoscope-assisted otologic and neurotologic surgery have been published, and the limits of these techniques continue to be explored [1–8]. This chapter describes the combined use of microsurgery and endoscopy during neurectomy for the treatment of chronic peripheral vestibular dysfunction, geniculate neuralgia, glossopharyngeal neuralgia, cranial nerve microvascular decompression procedures, and placement of auditory brainstem implants (ABI).
AB - Although most surgery of the cerebellopontine angle (CPA) deals with neoplastic diseases, it is important for contemporary skull-base surgeons to remain proficient in the surgical management of diseases that disrupt cranial nerve function. In addition to the use of microsurgical principles, over the past quarter century, we have found that the adjunctive use of endoscopy greatly facilitates optimal outcomes. Endoscopes have the ability to provide high magnification and illumination of the operative field. However, in contrast to the operative microscope, the endoscopic view is not limited to the linear line of sight. Thus, with flexible and angled endoscopes the surgeon can look “around corners,” beyond obstructing tissue and structures. Initial reports of endoscope-assisted otologic and neurotologic surgery have been published, and the limits of these techniques continue to be explored [1–8]. This chapter describes the combined use of microsurgery and endoscopy during neurectomy for the treatment of chronic peripheral vestibular dysfunction, geniculate neuralgia, glossopharyngeal neuralgia, cranial nerve microvascular decompression procedures, and placement of auditory brainstem implants (ABI).
UR - http://www.scopus.com/inward/record.url?scp=85160143346&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85160143346&partnerID=8YFLogxK
U2 - 10.1007/978-3-031-12507-2_7
DO - 10.1007/978-3-031-12507-2_7
M3 - Chapter
SN - 9783031125065
SP - 87
EP - 107
BT - Surgery of the Cerebellopontine Angle, Second Edition
PB - Springer International Publishing
ER -