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To the Editor: Many thanks for the fine December 1964 issue of Archives of Otolaryngology, which truly represents both an unusual and complete discussion on the removal of acoustic neuromas.
As you probably know, neither Harvey Cushing, MD, who was one of my teachers, nor his otology associate, Samuel Crowe, MD, lived long enough to see an eighth nerve tumor, except in the "angle" of a live patient. Of course, they did see acoustic neuromas a number of times in the temporal bone in serial postmortem specimens.
My article in the Archives of Neurology and Psychiatry (51:268 [March] 1944) represents the first recorded American case which was discovered in the "angle" that had not escaped its bony confines. The bony shell or capsule had to be opened and the tumor thus removed by the posterior fossa approach. The associated facial weakness or paralysis was repaired by anastomosis with the eleventh
ADELSTEIN LJ. ACOUSTIC NEUROMAS. Arch Otolaryngol. 1965;81(6):641. doi:10.1001/archotol.1965.00750050656022
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