Surgical outcomes of anterior cerebellopontine angle meningiomas using the anterior transpetrosal approach compared with the lateral suboccipital approach.
Adult
Aged
Cerebellar Neoplasms
/ surgery
Cerebellopontine Angle
/ surgery
Cranial Fossa, Middle
/ surgery
Cranial Fossa, Posterior
/ surgery
Ear, Inner
/ surgery
Female
Humans
Male
Meningeal Neoplasms
/ surgery
Meningioma
/ surgery
Middle Aged
Neurosurgical Procedures
/ adverse effects
Petrous Bone
/ surgery
Postoperative Complications
/ epidemiology
Anterior transpetrosal approach
Cerebellopontine angle
Lateral suboccipital approach
Meningioma
Petrous bone
Skull base
Journal
Acta neurochirurgica
ISSN: 0942-0940
Titre abrégé: Acta Neurochir (Wien)
Pays: Austria
ID NLM: 0151000
Informations de publication
Date de publication:
06 2020
06 2020
Historique:
received:
05
11
2019
accepted:
18
01
2020
pubmed:
15
2
2020
medline:
6
1
2021
entrez:
15
2
2020
Statut:
ppublish
Résumé
Anterior transpetrosal approach (ATPA) and lateral suboccipital approach (LSO) are the major surgical approaches for cerebellopontine angle (CPA) meningiomas. Particularly, anterior CPA meningiomas are challenging lesions to be treated surgically. To date, only a few studies have directly compared the outcomes of both approaches focusing on the anterior CPA meningiomas. For the comparative analysis, anterior CPA meningiomas that were eligible for both APTA and LSO were collected in our hospital from April 2005 to March 2017. Anterior CPA meningiomas targeted for this study were defined as follows: (1) without cavernous sinus, clivus, and middle cranial fossa extension, (2) the posterior edge is 1 cm behind the posterior wall of the internal auditory canal, and (3) the inferior edge is above the jugular tuberculum. Based on these criteria, the operative outcomes of 17 patients and 13 patients who were operated via ATPA and LSO were evaluated. The complication rate of the LSO group was significantly higher than that of the ATPA group (30.7% vs. 0%, p = 0.033). The removal rate did not differ between the ATPA and LSO groups (97.35% vs. 99.23%, p = 0.12). The operative time was significantly shorter in the LSO group than in the ATPA group (304.3 min vs. 405.8 min, p = 0.036). Although the LSO is more widely used for CPA meningiomas, ATPA is also considered for these anterior CPA meningiomas.
Sections du résumé
BACKGROUND
Anterior transpetrosal approach (ATPA) and lateral suboccipital approach (LSO) are the major surgical approaches for cerebellopontine angle (CPA) meningiomas. Particularly, anterior CPA meningiomas are challenging lesions to be treated surgically. To date, only a few studies have directly compared the outcomes of both approaches focusing on the anterior CPA meningiomas.
METHODS
For the comparative analysis, anterior CPA meningiomas that were eligible for both APTA and LSO were collected in our hospital from April 2005 to March 2017. Anterior CPA meningiomas targeted for this study were defined as follows: (1) without cavernous sinus, clivus, and middle cranial fossa extension, (2) the posterior edge is 1 cm behind the posterior wall of the internal auditory canal, and (3) the inferior edge is above the jugular tuberculum. Based on these criteria, the operative outcomes of 17 patients and 13 patients who were operated via ATPA and LSO were evaluated.
RESULTS
The complication rate of the LSO group was significantly higher than that of the ATPA group (30.7% vs. 0%, p = 0.033). The removal rate did not differ between the ATPA and LSO groups (97.35% vs. 99.23%, p = 0.12). The operative time was significantly shorter in the LSO group than in the ATPA group (304.3 min vs. 405.8 min, p = 0.036).
CONCLUSIONS
Although the LSO is more widely used for CPA meningiomas, ATPA is also considered for these anterior CPA meningiomas.
Identifiants
pubmed: 32056016
doi: 10.1007/s00701-020-04236-6
pii: 10.1007/s00701-020-04236-6
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM