KMID : 0361020210640050344
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Korean Journal of Otolaryngology - Head and Neck Surgery 2021 Volume.64 No. 5 p.344 ~ p.349
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Simultaneous Treatment of Vestibular Schwannoma and Concurrent Middle Ear Disease Using the Enlarged Translabyrinthine Approach
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Noh Hae-Eun
Lee Ho-Young Na Gi-Na Moon In-Seok
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Abstract
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Unilateral presentation of vestibular schwannoma with concurrent chronic middle ear diseaseor cholesteatoma is rare. We report a series of patients with ipsilateral chronic middle ear diseaseand vestibular schwannoma, which were simultaneously removed via the enlarged translabyrinthineapproach. All tumors were near-totally removed, and middle ear disease wascompletely excised; there were no major postoperative complications such as cerebrospinalfluid leakage, cholesteatoma recurrence, or meningitis. If hearing preservation of the affectedear is not necessary, simultaneous surgical removal of both pathologies is more convenientthan staged treatment. The enlarged translabyrinthine approach can achieve complete treatmentwith one corridor.
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KEYWORD
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Acoustic, Cholesteatoma, Neuroma, Otitis Media
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