S D Wait1, R Gazzeri, M Galarza, C Teo. 1. Department of Neurosurgery, Barrow Neurological Institute/St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA. wait_scott@yahoo.com
Abstract
BACKGROUND: The retrosigmoid approach is often used for posterior fossa pathology. Many variations of positioning exist. Here, we report a simple, safe, and quick positioning technique which maximizes patient safety, surgeon comfort, and intraoperative view. METHODS: We reviewed the senior author's prospective surgical database for retrosigmoid approaches to the posterior fossa and noted any complications or difficult exposures. RESULTS: Over 970 retrosigmoid operations were performed over the course of 19 years. There were no positioning-related complications and no aborted surgeries due to inadequate exposure. No normal cerebellum was ever resected to increase exposure and no retractor was ever used in the posterior fossa. CONCLUSIONS: Supine positioning for the retrosigmoid approach is an excellent and safe positioning alternative. Georg Thieme Verlag KG Stuttgart · New York.
BACKGROUND: The retrosigmoid approach is often used for posterior fossa pathology. Many variations of positioning exist. Here, we report a simple, safe, and quick positioning technique which maximizes patient safety, surgeon comfort, and intraoperative view. METHODS: We reviewed the senior author's prospective surgical database for retrosigmoid approaches to the posterior fossa and noted any complications or difficult exposures. RESULTS: Over 970 retrosigmoid operations were performed over the course of 19 years. There were no positioning-related complications and no aborted surgeries due to inadequate exposure. No normal cerebellum was ever resected to increase exposure and no retractor was ever used in the posterior fossa. CONCLUSIONS: Supine positioning for the retrosigmoid approach is an excellent and safe positioning alternative. Georg Thieme Verlag KG Stuttgart · New York.
Authors: Jaafar Basma; Christos Anagnostopoulos; Andrei Tudose; Mikhail Harty; L Madison Michael; Mario Teo; David G Porter Journal: J Neurol Surg B Skull Base Date: 2021-07-05