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July 1969

Total Removal of Acoustic Neuroma: Immediate and Long Term Results

Author Affiliations

Brooklyn, NY
From the Neurosurgical Division, Department of Surgery, State University of New York, Downstate Medical Center, Kings County Hospital, and Long Island College Hospital, Brooklyn, NY.

Arch Neurol. 1969;21(1):7-14. doi:10.1001/archneur.1969.00480130021002

CONTROVERSY still exists concerning the most satisfactory method of treatment of patients with a unilateral acoustic neuroma within the cerebellopontile angle. The question, in fact, has been raised as to whether operation should be done at all.1 If operation is performed, "partial removal" still has its advocates,2.3 while others favor "total removal" of the lesion as the operation of choice.412 Other questions unanswered relate to the type of operative approach, preservation of the facial nerve, resection of the cerebellum, and other technical procedures in the operation.

Since all of these different proposals13 le representing various modifications of the usual standard suboccipital approach are intended to influence morbidity and mortality in a beneficial way, it seemed appropriate to review, appraise, and record our data which have been generated solely by the employment of the so-called traditional suboccipital approach for total removal of this particular tumor.

Material  Sixty-seven

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