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Modifying the translabyrinthine approach to preserve hearing during acoustic tumour surgery

Published online by Cambridge University Press:  29 June 2007

John T. McElveen Jr*
Durham, North Carolina, U.S.A.
Robert H. Wilkins
Durham, North Carolina, U.S.A.
Andrea C. Erwin
Durham, North Carolina, U.S.A.
Robert D. Wolford
Durham, North Carolina, U.S.A.
Dr John T. McElveen, Jr., Assistant Professor, Division of Otolaryngology, Department of Surgery, P.O. Box 3805, Duke University Medical Center, Durham, North Carolina 27705, U.S.A.


Removing an acoustic schwannoma using the translabyrinthine approach has previously been considered incompatible with hearing preservation. By modifying the approach and preventing the loss of endolymph, we have successfully removed an intracanalicular acoustic schwannoma, which originated from the inferior vestibular nerve, and preserved hearing in the operated ear. This report represents the preliminary findings using this particular technique in the management of an intracanalicular acoustic tumour.

Clinical Records
Copyright © JLO (1984) Limited 1991

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