Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
6044689 | World Neurosurgery | 2016 | 10 Pages |
Abstract
The Kawase approach allows wide exposure of the middle cranial fossa (MCF) and posterior cranial fossa, requiring extradural temporal lobe retraction and an extradural petrosectomy with preservation of the internal acoustic meatus and cochlea. No temporal lobe retraction and direct control of neurovascular structures make the PIPA approach a valid alternative for lesions extending mostly in the Posterior cranial fossa with minor extension in the MCF. The longer surgical corridor, cerebellar retraction, and limited exposure of the anterior brainstem make this approach less indicated for lesions with major extension in the MCF and the anterior cavernous sinus.
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Authors
Luigi Rigante, Stephan Herlan, Marcos Soares Tatagiba, Milan Stanojevic, Bernhard Hirt, Florian Heinrich Ebner,