Microsurgical Resection of Petroclival Tumors via the Subtemporal Transtentorial Approach.

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Microsurgical Resection of Petroclival Tumors via the Subtemporal Transtentorial Approach.

Turk Neurosurg. 2016;26(3):331-5

Authors: Xu Z, Zeng X, Tian D, Chen Q

Abstract
AIM: To study and summarize our experience with the subtemporal transtentorial approach for resection of petroclival tumors.
MATERIAL AND METHODS: Twenty-eight patients who suffered from petroclival tumors and underwent tumor resection via a subtemporal transtentorial approach between October 2010 and July 2013 were retrospectively reviewed.
RESULTS: Total resection was performed in 22 cases, at a rate of 78.57%, subtotal resection in 5 cases, and large portion resection in 1 case. 13 patients who suffered from varying degrees of postoperative nerve dysfunction all improved or recovered, during the 6 to 24 month post-operative follow up.
CONCLUSION: The subtemporal transtentorial approach is one of the best approaches for resection of petroclival tumors, especially for a tumor at the petrosal apex and upper-middle clival region, and has the advantages of less trauma, easy procedure of craniotomy, and also a good surgical exposure.

PMID: 27161456 [PubMed - indexed for MEDLINE]

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