Abstract
Twenty one patients operated on by transtemporal microsurgical approaches are reviewed. Although the series is small, the results of operation indicate definite advantages of the translabyrinthine approach while the tumor size is adequate. With the advancement of diagnostic procedures and surgical experiences, the results continue to improve and total removal of the tumor can be achieved in all patients with very low morbidity. Emphasis is placed on systematic otoneurological examinations which suggest the presence of the acoustic neuroma at its early stage. Polytomography and meatocisternography are particularly valuable for early detection of the tumor.
