Management of Acoustic Neuroma; Anatomy, Molecular Biology; Clinical Judgment; UCIrvine Skull Base Surgery series; Frank Hsu, MD.
From SNI Digital Podcast · 47:46
Show by Dr. James Ausman
SUMMARY: Drs Frank Hsu-Neurosurgeon, Ed Kuan-Otolaryngologist-Anterior Skull Base, Dennis Malkkasian-Neurosurgeon, Molecular Biologist, and Aleander Himsted-Neurosurgeon-Resident from the University of California at Irvine Skull Base team present their approach to Acoustic Neuromas considering the anatomy, molecular biology and clinical judgment aspects of surgery. Anatomically, what is the correct approach to the CPAngle for these lesions? What is the anatomy of the cranial nerves in this region? Why are cranial nerve deficits so devastating? How to avoid a 7th, 9th, 10th, 11th, and 12th nerve palsies. Detailed anatomical discussion of this region. What is the Quality of Life of patients with these deficits? What kinds of monitoring is necessary in surgery? How should you surgically deal with the internal auditory canal? Should the whole tumor be removed? What is the risk? Is Post-op radiation necessary and when? When is the Middle Fossa Approach justified? How should you deal with a recurrence and how should it be followed? Can a 7th nerve palsy be justified today? Are other approaches to tumors in this location acceptable? When do you stop the resection? Excellent graphics, videos, and discussion. (47 minutes Good for Video and Podcast but images are very helpful in video). (JIA)
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