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June 1966

Neurosurgical Aspects

Author Affiliations

From the Department of Neurosurgery, University of Illinois.

Arch Otolaryngol. 1966;83(6):588-589. doi:10.1001/archotol.1966.00760020590017

DR. SHAMBAUGH has alluded to the marked improvement in diagnostic techniques allowing the diagnosis of very small acoustic tumors. It is these techniques which have been responsible for the dividing line which we are now drawing between the acoustic neurinoma as an ear tumor and the acoustic neurinoma as a brain tumor. As a neurosurgeon I am delighted to see these tumors diagnosed in their very early stages, particularly when they are entirely confined to the auditory canal and to see them removed by the translabyrinthine approach. After a translabyrinthine approach our patients have had a completely benign postoperative course. They were alert, oriented, neurologically intact, and had no subjective complaints except for some slight dizziness and some slight pain. In contrast, the usual picture following the posterior fossa approach is that of a patient who has a depressed state of consciousness varying from lethargy to that of deep coma,

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