Contributors: Bruce E. Mickey and J. Walter Kutz
This video highlights key steps to the translabyrinthine approach for vestibular schwannoma resection. It emphases identification of the facial nerve and the benefit of facial nerve monitoring in lateral skull base surgery.
DOI#: https://doi.org/10.17797/4w83z6uxam
Contributors: Amy M. Moore, and Brandon Isaacson
CHARGE syndrome is associated with a variety of temporal bone anomalies and deafness. The lack of surgical landmarks and facial nerve irregularities make cochlear implantation in this population a challenging endeavor. This video describes a safe and efficacious transcanal approach for cochlear implantation that obviates the need to perform a mastoidectomy and facial recess.
This video demonstrates the operative setup and surgical steps of a middle fossa approach for the resection of vestibular schwannoma (acoustic neuroma).
Authors:
Cameron C. Wick, MD (cameron.wick@wustl.edu) 1
Samuel L. Barnett, MD (sam.barnett@utsouthwestern.edu) 2
J. Walter Kutz Jr., MD (walter.kutz@utsouthwestern.edu) 3
Brandon Isaacson, MD (brandon.isaacson@utsouthwestern.edu) 3
1 – Department of Otolaryngology – Head and Neck Surgery, Washington University School of Medicine, St. Louis, MO
2 – Department of Neurosurgery, University of Texas Southwestern Medical Center, Dallas, TX
3- Department of Otolaryngology – Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX
This video illustrates an endoscopic ossiculoplasty using a total ossicular replacement prosthesis (TORP) in a patient with a mixed hearing loss and a large conductive component. The video highlights the middle ear anatomy including a dehiscent and prolapsed facial nerve partially obstructing the oval window. Technical pearls for the ossiculoplasty are also highlighted.
Cameron C. Wick, MD
Department of Otolaryngology – Head and Neck Surgery, Washington University School of Medicine, St. Louis, MO, USA
cameron.wick@wustl.edu
J. Walter Kutz Jr., MD
Department of Otolaryngology – Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA
walter.kutz@utsouthwestern.edu
Endoscopic ear surgery is an emerging technique championed for its improved visualization within the middle ear space. Stapes surgery presents a unique endoscopic challenge in that it offers a different type of depth perception compared to the binocular microscopic view. This video highlights the surgical steps for an endoscopic stapedotomy using a CO2 laser and Eclipse nitinol piston. The stapes footplate and stapedotomy are well visualized with the endoscope. Just like in endoscopic sinus surgery, depth perception is achieved through muscle-memory and camera movement.
Author: Cameron C. Wick, MD
Institution: Department of Otolaryngology – Head and Neck, Washington University School of Medicine in St. Louis, St. Louis, MO, USA
Email: cameron.wick@wustl.edu
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