BACKGROUND: @entity5513 ( @entity5513 ) are the most @entity5513 , accounting for 75% of all lesions in this location. OBJECTIVE: To evaluate the results after removal of VS through the enlarged translabyrinthine approach, which is a widening of the classic translabyrinthine approach that gives larger access and provides more room to facilitate @entity5 removal and to minimize surgery-related morbidities. METHODS: This was a retrospective study of 1865 @entity1 who underwent VS excision through the enlarged translabyrinthine approach between 1987 and 2009. Mean age was 50.39 years. Mean @entity5 size was 1.8 cm. Median follow-up was 5.7 years. RESULTS: Total removal was achieved in 92.33% of cases; 143 @entity1 had incomplete resection with evidence of regrowth in 8. In the 1742 previously untreated @entity1 , anatomic preservation of facial nerve was achieved in 1661 cases (95.35%), and House-Brackmann grade I or II was reached in 1047 @entity1 (59.87%). Facial nerve outcome was significantly better in @entity5  <= 20 mm. Surgical complications included @entity5173 in 0.85%, @entity693 in 0.10%, @entity510 in 0.80%, non--VII/ @entity797 @entity129 in 0.96%, @entity6447 in 0.69%, and death in 0.10%. The technical modifications that evolved with increasing experience are described. CONCLUSION: The enlarged translabyrinthine approach is a safe and effective approach for the removal of VS. In our experience, the complication rate is very low and @entity5 size is still the main factor influencing postoperative facial nerve function with a cutoff point at around 20 mm.

Surgical results and technical refinements in translabyrinthine excision of XXXX : the Gruppo Otologico experience.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity129 :: ('MESH:D003389', 'Disease') :: ['cranial nerve palsy'] @entity5513 :: ('MESH:D009464', 'Disease') :: ['VSs', 'common cerebellopontine angle tumors', 'Vestibular schwannomas'] @entity510 :: ('MESH:D013345', 'Disease') :: ['intracranial bleeding'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'tumors'] @entity797 :: ('1351', 'Gene') :: ['VIII'] @entity693 :: ('MESH:D008581', 'Disease') :: ['meningitis'] @entity5173 :: ('MESH:D065634', 'Disease') :: ['cerebrospinal fluid leakage'] @entity6447 :: ('MESH:D002524', 'Disease') :: ['cerebellar ataxia']
@entity5513 :: (MESH:D009464,Disease) :: ['vestibular schwannomas']
