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REMOVAL OF CEREBELLOPONTILE (ACOUSTIC) TUMORS THROUGH A UNILATERAL APPROACH

REMOVAL OF CEREBELLOPONTILE (ACOUSTIC) TUMORS THROUGH A UNILATERAL APPROACH Abstract For the attack on the well recognized encapsulated tumors of the cerebellopontile angle (erroneously, I think, called acoustic tumors) the bilateral cerebellar approach has been adopted by all neurosurgeons. I know of no exception to this rule. The purpose of this communication is to present a radical departure from this standardized approach, namely, to offer in its stead, a unilateral exposure, essentially similar to that now used when the fifth, eighth and ninth nerves are divided for various symptoms referable to these nerves. Originally a unilateral approach was proposed by Krause; it was used by others and subsequently given up because it was entirely inadequate. A pertinent query is, therefore, Why again propose a seemingly similar approach which has been proved to have disastrous consequences? The answer is that new developments, particularly methods of space reduction, then not known or not properly appreciated, now offer all of the advantages obtained References 1. Dandy, W. E.: An Operation for the Total Removal of Cerebellopontile (Acoustic) Tumors , Surg. Gynec. & Obst. 41:129, 1925. 2. Cerebellopontine (Acoustic) Tumors , in Lewis, Dean: Practice of Surgery , Hagerstown, Md., W. F. Prior Company, Inc., 1933, vol. 12, chap. 1, p. 534. 3. Cotterill, J. M.: Remarks on the Surgical Aspects of a Case of Cerebellopontine Tumor by Bruce , Tr. Med.-Chir. Soc., Edinburgh 18:215, 1898-1899. 4. Frazier, C. H.: Remarks upon the Surgical Aspects of Tumors of the Cerebellum , New York M. J. 81:272 and 332, 1905. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

REMOVAL OF CEREBELLOPONTILE (ACOUSTIC) TUMORS THROUGH A UNILATERAL APPROACH

Archives of Surgery , Volume 29 (3) – Sep 1, 1934

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Publisher
American Medical Association
Copyright
Copyright © 1934 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1934.01180030002001
Publisher site
See Article on Publisher Site

Abstract

Abstract For the attack on the well recognized encapsulated tumors of the cerebellopontile angle (erroneously, I think, called acoustic tumors) the bilateral cerebellar approach has been adopted by all neurosurgeons. I know of no exception to this rule. The purpose of this communication is to present a radical departure from this standardized approach, namely, to offer in its stead, a unilateral exposure, essentially similar to that now used when the fifth, eighth and ninth nerves are divided for various symptoms referable to these nerves. Originally a unilateral approach was proposed by Krause; it was used by others and subsequently given up because it was entirely inadequate. A pertinent query is, therefore, Why again propose a seemingly similar approach which has been proved to have disastrous consequences? The answer is that new developments, particularly methods of space reduction, then not known or not properly appreciated, now offer all of the advantages obtained References 1. Dandy, W. E.: An Operation for the Total Removal of Cerebellopontile (Acoustic) Tumors , Surg. Gynec. & Obst. 41:129, 1925. 2. Cerebellopontine (Acoustic) Tumors , in Lewis, Dean: Practice of Surgery , Hagerstown, Md., W. F. Prior Company, Inc., 1933, vol. 12, chap. 1, p. 534. 3. Cotterill, J. M.: Remarks on the Surgical Aspects of a Case of Cerebellopontine Tumor by Bruce , Tr. Med.-Chir. Soc., Edinburgh 18:215, 1898-1899. 4. Frazier, C. H.: Remarks upon the Surgical Aspects of Tumors of the Cerebellum , New York M. J. 81:272 and 332, 1905.

Journal

Archives of SurgeryAmerican Medical Association

Published: Sep 1, 1934

References