The Middle Cranial Fossa Approach

norosirurjiozel12-1-22kapak

Alperen KAYAa, Tufan Agah KARTUMa, Necmettin TANRIÖVERa
aİstanbul University-Cerrahpaşa, Cerrahpasa Faculty of Medicine, Department of Neurosurgery, İstanbul, Türkiye

Kaya A, Kartum TA, Tanrıöver N. The middle cranial fossa approach. In: Sanus GZ, Batıoğlu Karaaltın A, eds. Surgical Management of Facial Nerve Paralysis. 1st ed. Ankara: Türkiye Klinikleri; 2022. p.159-65.

Article Language: EN

ABSTRACT
Accessing to the facial nerve (FN) and other structures in the cerebellopontine angle and the prepontine cistern carries a challenge for skullbase surgeons. Retrosigmoid, presigmoid, and subtemporal approaches and their variations have been described to have a surgical exposure of these structures. The middle cranial fossa (MCF) approach, nowadays a less used way of accessing the internal acoustic canal (IAC), is directed through the middle fossa floor via elevating the temporal lobe and its dura with no labyrinthectomy. This approach is unique in that it allows for direct exposure of the cisternal, meatal, labyrinthine, and tympanic segments of the FN, the vestibulocochlear nerve, and the perigeniculate area with total hearing preservation.

Keywords: Facial nerve; cranial fossa, middle; cerebellopontine angle

Referanslar

  1. Gjuric M, Rudic M. What is the best tumor size to achieve optimal functional results in vestibular schwannoma surgery? Skull Base. 2008; 18(5):317-25. [Crossref]  [PubMed]  [PMC]
  2. House WF, Shelton C. Middle fossa approach for acoustic tumor removal. Otolaryngol Clin North Am 1992;25:347-59. [Crossref]
  3. House WF. Middle cranial fossa approach to the petrous pyramid. Report of 50 cases. Arch Otolaryngol 1963;78:460-9. [Crossref]  [PubMed]
  4. Parry RH. A case of tinnitus and vertigo treated by division of the auditory nerve. J Laryngol 1904;19:402-6. [Crossref]
  5. HOUSE WF. Surgical exposure of the internal auditory canal and its contents through the middle, cranial fossa. Laryngoscope. 1961;71:1363- 85. [Crossref]  [PubMed]
  6. Tanriover N, Sanus GZ, Ulu MO, Tanriverdi T, Akar Z, Rubino PA, et al. Middle fossa approach: microsurgical anatomy and surgical technique from the neurosurgical perspective. Surg Neurol. 2009; 71(5):586-96; discussion 596. [Crossref]  [PubMed]
  7. Friedman RA, Fayad JN. The Middle Cranial Fossa Approach to Vestibular Schwannomas. Lateral Skull Base Surgery The House Clinic Atlas. 1st ed. New York: Thieme; 2012. p.19-20. [Crossref]
  8. Gawęcki W, Karlik M, Borucki Ł, Wróbel M, Stieler OM, Szyfter W. Middle Fossa Approach for Cochlear Implantation. Otol Neurotol. 2018; 39(2):e96-e102. [Crossref]  [PubMed]
  9. Tolisano AM, Kutz JW Jr. Middle fossa approach for spontaneous cerebrospinal fluid fistula and encephaloceles. Curr Opin Otolaryngol Head Neck Surg. 2019;27(5):356-60. [Crossref]  [PubMed]
  10. Pait GP, Zeal A, Harris FS, et al. Microsurgical anatomy and dissection of the temporal bone. Surg Neurol 1977;8:363-91.
  11. Kawase T, Shiobara R, Toya S. Anterior transpetrosal-transtentorial approach for sphenopetroclival meningiomas: surgical method and results in 10 patients. Neurosurgery. 1991;28(6):869-75; discussion 875-6. [Crossref]  [PubMed]
  12. Kawase T, Shiobara R. Extended middle cranial fossa approaches to the clivus and acoustic meatus. In: Torrens M, Al-Mefty O, Kobayashi S, editors. Operative Skull Base Surgery. 1st ed. New York: Churchill Livingstone; 1997. p. 263-78.
  13. Kawase T, Toya S, Shiobara R, Mine T. Transpetrosal approach for aneurysms of the lower basilar artery. J Neurosurg. 1985;63(6):857-61. [Crossref]  [PubMed]
  14. MacDonald JD, Antonelli P, Day AL. The anterior subtemporal, medial transpetrosal approach to the upper basilar artery and ponto-mesencephalic junction. Neurosurgery. 1998;43(1):84-9. [Crossref]  [PubMed]
  15. Bochenek Z, Kukwa A. An extended approach through the middle cranial fossa to the internal auditory meatus and the cerebellopontine angle. Acta Otolaryngol. 1975;80(5-6):410-4. [Crossref]  [PubMed]
  16. Diaz Day J. The middle fossa approach and extended middle fossa approach: technique and operative nuances. Neurosurgery. 2012;70(2 Suppl Operative):192-201. [Crossref]  [PubMed]
  17. Rhoton AL Jr. The temporal bone and transtemporal approaches. Neurosurgery. 2000;47(3 Suppl):S211-65. [Crossref]
  18. Fisch U, Esslen E. Total intratemporal exposure of the facial nerve. Pathologic findings in Bell's palsy. Arch Otolaryngol. 1972;95(4):335-41. [Crossref]  [PubMed]
  19. Garcia-Ibanez E, Garcia-Ibanez JL. Middle fossa vestibular neurectomy: a report of 373 cases. Otolaryngol Head Neck Surg. 1980;88(4):486-90. [Crossref]  [PubMed]
  20. Miller RS, Hashisaki GT, Kesser BW. Image-guided localization of the internal auditory canal via the middle cranial fossa approach. Otolaryngol Head Neck Surg. 2006;134(5):778-82. [Crossref]  [PubMed]
  21. Pillai P, Sammet S, Ammirati M. Application accuracy of computed tomography-based, image-guided navigation of temporal bone. Neurosurgery. 2008;63(4 Suppl 2):326-32; discussion 332-3. [Crossref]  [PubMed]
  22. Samii M, Matthies C. Management of 1000 vestibular schwannomas (acoustic neuromas): surgical management and results with an emphasis on complications and how to avoid them. Neurosurgery. 1997; 40(1):11-21; discussion 21-3. [Crossref]  [PubMed]
  23. Dogan I, Sahin OS, Roche JP. Middle Fossa Approach to Vestibular Schwannoma. In: Baskaya MK, Pyle GM, Roche JP, eds. Vestibular Schwannoma Surgery. 1st ed. Switzerland: Springer; 2019. p.59-103. [Crossref]
  24. Scheich M, Ginzkey C, Ehrmann Müller D, Shehata Dieler W, Hagen R. Complications of the Middle Cranial Fossa Approach for Acoustic Neuroma Removal. J Int Adv Otol. 2017;13(2):186-90. [Crossref]  [PubMed]
  25. Meyer TA, Canty PA, Wilkinson EP, Hansen MR, Rubinstein JT, Gantz BJ. Small acoustic neuromas: surgical outcomes versus observation or radiation. Otol Neurotol. 2006;27(3):380-92. [Crossref]  [PubMed]
  26. Wang AC, Chinn SB, Than KD, Arts HA, Telian SA, El-Kashlan HK, Thompson BG. Durability of hearing preservation after microsurgical treatment of vestibular schwannoma using the middle cranial fossa approach. J Neurosurg. 2013;119(1):131-8. [Crossref]  [PubMed]
  27. Kutz JW Jr, Scoresby T, Isaacson B, Mickey BE, Madden CJ, Barnett SL, et al. Hearing preservation using the middle fossa approach for the treatment of vestibular schwannoma. Neurosurgery. 2012;70(2):334-40; discussion 340-1. [Crossref]  [PubMed]
  28. Arts HA, Telian SA, El-Kashlan H, Thompson BG. Hearing preservation and facial nerve outcomes in vestibular schwannoma surgery: results using the middle cranial fossa approach. Otol Neurotol. 2006;27(2):234- 41. [Crossref]  [PubMed]
  29. Gjurić M, Wigand ME, Wolf SR. Enlarged middle fossa vestibular schwannoma surgery: experience with 735 cases. Otol Neurotol. 2001; 22(2):223-30; discussion 230-1. [Crossref]  [PubMed]
  30. Brackmann DE, Owens RM, Friedman RA, Hitselberger WE, De la Cruz A, House JW, et al. Prognostic factors for hearing preservation in vestibular schwannoma surgery. Am J Otol. 2000;21(3):417-24. [Crossref]  [PubMed]
  31. Shelton C, Brackmann DE, House WF, Hitselberger WE. Acoustic tumor surgery. Prognostic factors in hearing conversation. Arch Otolaryngol Head Neck Surg. 1989;115(10):1213-6. [Crossref]  [PubMed]
  32. Griffin GR, Abuzeid w, Vainshtein J, Kim JC. Outcomes following temporalis tendon transfer in irradiated patients. Arch Facial Plast Surg. 2012;14(6):395-402. [Crossref]  [PubMed]  [PMC]
  33. Guerreschi P, labbe D. lengthening temporalis myoplasty: a surgical tool for dynamic labial commissure reanimation. Facial Plast Surg. 2015;31(2):123-7. [Crossref]  [PubMed]
  34. Betchen SA, Walsh J, Post KD. Long-term hearing preservation after surgery for vestibular schwannoma. J Neurosurg. 2005;102(1):6-9. [Crossref]  [PubMed]
  35. Lin VY, Stewart C, Grebenyuk J, Tsao M, Rowed D, Chen J, et al. Unilateral acoustic neuromas: long-term hearing results in patients managed with fractionated stereotactic radiotherapy, hearing preservation surgery, and expectantly. Laryngoscope. 2005;115(2):292-6. [Crossref]  [PubMed]
  36. Carlson ML, Jacob JT, Pollock BE, Neff BA, Tombers NM, Driscoll CL, et al. Long-term hearing outcomes following stereotactic radiosurgery for vestibular schwannoma: patterns of hearing loss and variables influencing audiometric decline. J Neurosurg. 2013;118(3):579-87. [Crossref]  [PubMed]
  37. Hasegawa T, Kida Y, Kato T, Iizuka H, Yamamoto T. Factors associated with hearing preservation after Gamma Knife surgery for vestibular schwannomas in patients who retain serviceable hearing. J Neurosurg. 2011;115(6):1078-86. [Crossref]  [PubMed]
  38. Watanabe S, Yamamoto M, Kawabe T, Koiso T, Yamamoto T, Matsumura A, et al. Stereotactic radiosurgery for vestibular schwannomas: average 10-year follow-up results focusing on long-term hearing preservation. J Neurosurg. 2016;125(Suppl 1):64-72. [Crossref]  [PubMed]
  39. Wilkinson EP, Roberts DS, Cassis A, Schwartz MS. Hearing Outcomes after Middle Fossa or Retrosigmoid Craniotomy for Vestibular Schwannoma Tumors. J Neurol Surg B Skull Base. 2016;77(4):333-40. [Crossref]  [PubMed]  [PMC]