Racial considerations in acoustic neuroma removal with hearing preservation via the retrosigmoid approach.

Abstract:

:Racial differences in the size, shape and structure of the cranium exist. This paper evaluates the importance of race in influencing the required sizes of craniotomies for gaining access to the lateral end of the internal auditory meatus without breaching the labyrinth via the retrosigmoid approach. Fine-cut CT scans of the temporal bones (axial cuts) of 34 Chinese and 34 Europeans were studied. The relevant distances and angles of the posterior cranial fossa and temporal bone were measured and statistically significant differences between the two races were found. This led us to the conclusion that a larger craniotomy is required in Europeans than in Chinese. In recommending an optimal size for a retrosigmoid craniotomy to remove acoustic neuromas completely and preserve hearing, the racial factor must be considered.

journal_name

Acta Otolaryngol

journal_title

Acta oto-laryngologica

authors

Low WK,Fenton JE,Fagan PA,Gibson WP

doi

10.3109/00016489509139402

subject

Has Abstract

pub_date

1995-11-01 00:00:00

pages

783-6

issue

6

eissn

0001-6489

issn

1651-2251

journal_volume

115

pub_type

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