Affiliations 

  • 1 Department of Otorhinolaryngology, Hospital University Kebangsaan Malaysia. ORL-Head and Neck Surgery Hospital Selayang, Lebuhraya Selayang-Kepong, 68700 Batu Caves, Selayang
  • 2 Department of Otorhinolaryngology, Faculty of Medicine, Hospital University Kebangsaan Malaysia
  • 3 Department of Otorhinolaryngology, Faculty of Medicine, International Islamic University Malaysia
Med J Malaysia, 2006 Mar;61(1):72-5.
PMID: 16708737 MyJurnal

Abstract

A retrospective analysis of 15 cases intracanalicular acoustic neuroma that undergone tumour excision by translabyrinthine approach spanning from August 1996 until December 2002 is presented. The main presenting complaints are unilateral hearing loss (100%) and tinnitus (86.7%). The mean age of presentation was 48.5 years old. Magnetic resonance imaging is the most important investigation tool to diagnose acoustic neuroma. At six months post operatively, the facial nerve was normal or near normal (grade I and II) in 46.6%, grade III to IV in 46.6% and grade V to VI in 6.7% of the cases respectively. There were also four cases of post operative cerebrospinal fluid leak, which was successfully managed with conservative measures. The translabyrinthine approach is the most familiar surgical technique employed by otologist. It is the most direct route to the cerebellopontine angle and internal auditory canal. It requires minimum cerebellar retraction. However, it sacrifices any residual hearing in the operated ear.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.