Endoskopie 2009; 18(2): 67-71

Minimally invasive endoscopic and endoscopy-assisted microsurgery of vestibular schwannoma

prof. MUDr. Jan Betka, DrSc¹, prof. MUDr. Eduard Zvěřina, DrSc¹, MUDr. Martin Chovanec, Ph.D^1,2, MUDr. Jan Kluh¹, MUDr. Petr Lukeš¹, MUDr. Josef Kraus CSc³, MUDr. Jiří Lisý⁴

¹ Klinika otorinolaryngologie a chirurgie hlavy a krku 1. LF UK a FN v Motole, Praha

² Klinika dětské neurologie 2. LF UK a FN v Motole, Praha

³ Klinika dětské neurologie 2. LF UK a Centrum pro epilepsie FN Motol, Praha

⁴ Klinika zobrazovacích metod 2. LF UK a FN v Motole, Praha

This article represents overview of endoscopical techniques in the treatment of vestibular schwannoma which ist the most common

neoplasm in neurootology. Endoscopy-assisted microsurgery represents modern trend of surgical treatment of this tumors with broader

application during the last years only. Angled optics, magnification and illumination enable superior view in the operative field. Endoscopy

is valuable for assesment of radicality of resection in the region of internal auditory meatus. Improved information about critical

structures and tumor itself helps the surgeon to preserve facial nerve and in selected cases also hearing. These techniques can help to

decrease incidence of postoperative complications (e. g. cerebrospinal fluid leaks). It is expected that growing experience with endoscopic

surgical technique represents step forward to minimally invasive pure endoscopic surgery of vestibular schwannoma.

Keywords: vestibular schwannoma, acoustic neuroma, endoscopy, microsurgery.

Published: September 1, 2009  Show citation