Foramen Luschkae and Indication of Neuro–otologic Surgical Interventions
Authors:
J. Kovaľ; S. Krempaská; L. Kaliarik
Authors‘ workplace:
Klinika otorinolaryngológie a chirugie halvy a krku LF UPJŠ a FNLP, Košice
prednosta prof. MUDr. J. Kovaľ, CSc.
Published in:
Otorinolaryngol Foniatr, 59, 2010, No. 2, pp. 77-84.
Category:
Original Article
Overview
The authors emphasize the role of foramen Luschkae in indication of neuro–otologic approached in the therapy of vestibular schwannoma and other disease conditions. The obturation of foramen Luschkae with a medium-size or large tumor may significantly deteriorate circulation of cerebrospinal liquor and just in these cases the lateral neuro–otologic approaches – trans-labyrinth and transotic ones – are apparently least traumatizing.
Precisely in these situations the preoperatively assessed hearing is only rarely socially sufficient. In all other cases, when the circulation of cerebrospinal liquor is not deteriorated, the selection of surgical approach will be specified by the state of hearing on the affected side and character of the disease affecting the pontocerebellar space. The indication of surgical treatment should be selected effectively considering the specific patient.
Key words:
translabyrinthine approach, retrosigmoid approach, foramen Luschkae, vestibular schwannoma.
Sources
1. House, W., Luetje, C., Doyle, K.: Acoustic tumors: diagnosis and management. Singular Publishing Group, Inc., San Diego, 1997, 359 s.
2. Jackler, R., Brackmann, D.: Neurotology. Mosby, St. Louis, 1994, 1464 s.
3. Kovaľ, J., Šulla I., Krempaská, S., Kaliarik, L., Almaši, M.: Standpoint of surgeon on preservation of facial nerve function in removing of vestibular schwannoma by translabyrinthine approach. Otorinolaryng. a Foniat. /Prague/, 55, 2006, s. 199-205.
4. Kaliarik., L., Krempaská , S., Kovaľ, J.: Standpoint of the monitoring specialist on preservation of facial nerve function in removing of vestibular schwannoma by translabyrinthine approach. Otorinolaryng. a Foniat. /Prague/, 55, 2006,s. 206-212.
5. Kovaľ, J., Krempaská, S., Kaliarik, L.: Minimal retrosigmoid approach with applied endoscopy. Otorinolaryng. a Foniat. /Prague,/ 58, 2009, 1, s. 8-14.
6. Magnan, J., Chays, A., Leptre, C. et al.: Surgical perspective of endoscopy ofthe cerebellopontinne angle. Am. J. Otol., 15, 1994, s. 366-370.
7. Magnan, J., Chays, A., Cohen, J., M. et al.: Voie retrosigmoide et endoscopie de lęangle ponto-cerebelleux: indications et resultats. JFORL, 43, 1994, s. 347-352.
8. Morawski, K., Niemczyk, K., Bohorquez, J., Marchel, A., Delgado, R., Ozdamar, O., Telishi, F. F.: Intraoperative monitoring of hearing during cerebello-pontine angle tumor surgery using transtympanal electrocochleography. Otol. Neurotol., 28, 2007, 4, s.541-545.
9. Morawskim, K., Telishi, F. F., Niemczyk, K.: A model of real time monitoring of the cochlear function during an induced local ischemia. Hearing Research, 212, 2006, s. 117-127.
10. Niemczyk, K., Dubrulle, F., Vaneecloo, F. M., Lejeune, J. P., Lemaitre, L., Bruzgielewicz, A., Vincent, C.: Clinical implications of acoustic neuromas growth rate in volumetric study. Ann. Otolaryngol Chir. Cervicofac., 119, 2002, 5, s. 259-263.
11. Niemczyk, K., Vaneecloo, F. M., Lemaitre, L., Lejeune, J. P., Skarżyński, H., Dubrulle, F., Vincent, Ch.: The growth of acoustic neuromas in volumetric radiological assessment. American Journal of Otology, 20, 1999, 2, s. 244-248.
12. Niemczyk, K., Vaneecloo, F. M., Lecomte, M. H., Lejeune, J. P., Lemaitre, L., Skarzynski, H., Vincent, C., Dubrulle, F.: Correlation between Ki-67 index and some clinical aspects of acoustic neuromas (vestibular schwannomas). Otolaryngol Head Neck Surg., 123, 2000, 6, s. 779-783.
13. Sterkers, J. M., Sterkers, O.: Le neurinome de lęacoustique - La neurofibromatose de Type II. Les monographies du cca Wagram, Paris, 1997, 64 s.
Labels
Audiology Paediatric ENT ENT (Otorhinolaryngology)Article was published in
Otorhinolaryngology and Phoniatrics
2010 Issue 2
Most read in this issue
- Epiglottitis in Adults
- Relapsing Polychondritis, Manifestations in Otolaryngology Area
- Adenoid Vegetation and Chronic Secretory Otitis
- Validity of HRCT and Surgery Findings in Pathology of Temporal Bone in Children