Archives of Neuroscience

Published by: Kowsar

Initial Experience With the Retrosigmoid Inframeatal Approach in Skull Base Surgery

Madjid Samii 1 , 2 , Maysam Alimohamadi 1 , 2 , * , Hussam Metwali 1 and Venelin Gerganov 1
Authors Information
1 Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, IR Iran
2 International Neuroscience Institute, Hannover, Germany
Article information
  • Archives of Neuroscience: July 01, 2015, 2 (3); e19807
  • Published Online: July 20, 2015
  • Article Type: Case Report
  • Received: May 4, 2014
  • Accepted: December 28, 2014
  • DOI: 10.5812/archneurosci.19807

To Cite: Samii M, Alimohamadi M, Metwali H, Gerganov V. Initial Experience With the Retrosigmoid Inframeatal Approach in Skull Base Surgery, Arch Neurosci. 2015 ; 2(3):e19807. doi: 10.5812/archneurosci.19807.

Copyright © 2015, Tehran University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Introduction
2. Case Presentation
3. Discussion
  • 1. Rhoton AJ. The temporal bone and transtemporal approaches. Neurosurgery. 2000; 47(3 Suppl)-65[PubMed]
  • 2. Sanna M, Pandya Y, Mancini F, Sequino G, Piccirillo E. Petrous bone cholesteatoma: classification, management and review of the literature. Audiol Neurootol. 2011; 16(2): 124-36[DOI][PubMed]
  • 3. Aubry K, Kovac L, Sauvaget E, Tran Ba Huy P, Herman P. Our experience in the management of petrous bone cholesteatoma. Skull Base. 2010; 20(3): 163-7[DOI][PubMed]
  • 4. Black B, Gutteridge I. Acquired cholesteatoma: classification and outcomes. Otol Neurotol. 2011; 32(6): 992-5[DOI][PubMed]
  • 5. Bambakidis NC, Kakarla UK, Kim LJ, Nakaji P, Porter RW, Daspit CP, et al. Evolution of surgical approaches in the treatment of petroclival meningiomas: a retrospective review. Neurosurgery. 2007; 61(5 Suppl 2): 202-9[DOI][PubMed]
  • 6. Sakata K, Al-Mefty O, Yamamoto I. Venous consideration in petrosal approach: microsurgical anatomy of the temporal bridging vein. Neurosurgery. 2000; 47(1): 153-60[PubMed]
  • 7. Morisako H, Goto T, Nagata T, Chokyu I, Ichinose T, Ishibashi K, et al. Middle skull base approach with posterolateral mobilization of the geniculate ganglion to access the clival regions. Neurosurgery. 2011; 69-94
  • 8. Goel A. Middle fossa sub-Gasserian ganglion approach to clivus chordomas. Acta Neurochir. 1995; 136(3-4): 212-6
  • 9. Day JD. The middle fossa approach and extended middle fossa approach: technique and operative nuances. Neurosurgery. 2012; 70-201
  • 10. De la Cruz A, Teufert KB. Transcochlear approach to cerebellopontine angle and clivus lesions: indications, results, and complications. Otol Neurotol. 2009; 30(3): 373-80[DOI][PubMed]
  • 11. Avci E, Dagtekin A, Akture E, Uluc K, Baskaya MK. Microsurgical anatomy of the vein of Labbe. Surg Radiol Anat. 2011; 33(7): 569-73[DOI][PubMed]
  • 12. Samii M, Tatagiba M, Carvalho GA. Retrosigmoid intradural suprameatal approach to Meckel's cave and the middle fossa: surgical technique and outcome. J Neurosurg. 2000; 92(2): 235-41[DOI][PubMed]
  • 13. Guppy KH, Origitano TC, Reichman OH, Segal S. Venous drainage of the inferolateral temporal lobe in relationship to transtemporal/transtentorial approaches to the cranial base. Neurosurgery. 1997; 41(3): 615-9[PubMed]
  • 14. Barges-Coll J, Fernandez-Miranda JC, Prevedello DM, Gardner P, Morera V, Madhok R, et al. Avoiding injury to the abducens nerve during expanded endonasal endoscopic surgery: anatomic and clinical case studies. Neurosurgery. 2010; 67(1): 144-54[PubMed]
  • 15. Sanna M, Mazzoni A, Saleh EA, Taibah AK, Russo A. Lateral approaches to the median skull base through the petrous bone: the system of the modified transcochlear approach. J Laryngology Otol. 2007; 108(12)
  • 16. Cinibulak Z, Krauss JK, Nakamura M. Navigated minimally invasive presigmoidal suprabulbar infralabyrinthine approach to the jugular foramen without rerouting of the facial nerve. Neurosurg. 2013; 73-15
  • 17. Borba LA, Ale-Bark S, London C. Surgical treatment of glomus jugulare tumors without rerouting of the facial nerve: an infralabyrinthine approach. Neurosurg Focus. 2004; 17(2)[PubMed]
  • 18. Fisch U, Fagan P, Valavanis A. The infratemporal fossa approach for the lateral skull base. Otolaryngol Clin North Am. 1984; 17(3): 513-52[PubMed]
  • 19. Gjuric M, Bilic M. Transmastoid-Infralabyrinthine Tailored Surgery of Jugular Paragangliomas. Skull Base. 2009; 19(1): 75-82
  • 20. Jacob CE, Rupa V. Infralabyrinthine approach to the petrous apex. Clin Anat. 2005; 18(6): 423-7[DOI][PubMed]
  • 21. Samii M, Gerganov VM. Surgery of Extra-Axial Tumors of the Cerebral Base. Neurosurg. 2008; 62: 1153-68
  • 22. Samii M, Metwali H, Samii A, Gerganov V. Retrosigmoid intradural inframeatal approach: indications and technique. Neurosurg. 2013; 73-60
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments