Translabyrinthine Approach to Large Recurrent Acoustic Neuroma

Abstract

A case of the subtotal removal of a large recurrent acoustic neuroma by translabyrinthine approach is reported. The operation has enabled the patient to return to her normal routine.
The translabyrinthine approach is usually indicated only for small tumors below 2cm in size and localized in the inner ear meatus. This report suggests that in the case of a patient of advanced age or poor general condition, the translabyrinthine approach can be used effectively, even when the tumor is large or recurrent, for the purpose of tumor decompression.