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Skull Base Surg. 1993;3(3):130-5. doi: 10.1055/s-2008-1060575.

The middle fossa transpetrous approach for petroclival meningiomas.

Skull base surgery

W E Hitselberger, K L Horn, H Hankinson, D E Brackmann, W F House

PMID: 17170902 PMCID: PMC1656433 DOI: 10.1055/s-2008-1060575

Abstract

Seventeen patients with petroclival meningioma were operated on through a middle fossa transpetrous approach. This approach exposes the anterior cerebellopontine angle through a middle fossa craniotomy with removal of the petrous apex medial to the cochlea and petrous carotid artery. This approach may be enlarged by transection of the superior petrosal sinus and tentorium. The surgical technique and application of the middle fossa transpetrous approach for petroclival meningiomas is presented.

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