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Endoscopic Acoustic Neuroma Surgery Video Clip
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Endoscopic Acoustic Neuroma Surgery Video Clip
Endoscopic Acoustic Neuroma Surgery Video Clip Skull Base Institute Press and Media Videos and Information
Acoustic Neuroma
Endoscopic Retromastoid
Surgery
01:31
Endoscopic Acoustic Neuroma Surgery Video Clip Transcription

ACOUSTIC NEUROMA SURGERY

Dr. Hrayr Shahinian: Endoscopic Acoustic Neuroma Surgery. Through a minimally invasive dime-size opening behind the ear, a 2.7-millimeter endoscope is introduced into the posterior fossa and slowly advanced to the cerebellopontine angle. A grade three 2-1/2 x 3-centimeter acoustic neuroma is visualized. After electro-coagulating its surface, the central portion of the tumor is cored out and the tumor is decompressed. The capsule of the tumor is visualized and is dissected off of the surrounding structures, including the brain stem and other cranial nerves.  Using micro-dissection techniques, the capsule is dissected off of the facial nerve and is resected. A complete resection of the tumor is, thus, achieved. The tumor bed is visualized, free of tumor. The opening is reconstructed using a micro-plate, incision is closed. The procedure is performed through a minimally invasive dime-size opening through a 2.7-millimeter endoscope. The patient is observed overnight in the surgical intensive care unit and is discharged home in 48 hours with no major neurologic deficit.

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